Women’s health is a journey, and navigating gynecological concerns is a vital part of it. From adolescence to menopause and beyond, many women experience health issues specific to their reproductive system. Understanding these conditions and knowing when to seek expert care is the first step toward wellness.

At Inova Hospital in Kathmandu, we are committed to providing compassionate, comprehensive, and cutting-edge care for all women. Leading our department is Dr. Sabita Singh, MBBS, MS (Gynaecology and Obstetric), a renowned specialist with extensive experience in diagnosing and treating a full spectrum of gynecological conditions.

In this article, Dr. Singh helps us demystify some of the most common gynecological problems and explains the advanced treatment options available at Inova Hospital.

Common Gynecological Issues and Their Symptoms

Many gynecological conditions share similar symptoms. Dr. Sabita Singh emphasizes that a proper diagnosis by a specialist is crucial.

1. Polycystic Ovary Syndrome (PCOS)

A hormonal disorder common among women of reproductive age.

• Symptoms: Irregular periods, excessive hair growth (hirsutism), acne, weight gain, and infertility.
• Expert Insight: “PCOS is more than just a gynecological issue; it’s a metabolic one. Our approach at Inova is holistic, focusing on lifestyle management, dietary guidance, and medication to regulate cycles and manage symptoms,” says Dr. Singh.

2. Uterine Fibroids

Non-cancerous growths that develop in or on the uterus.

• Symptoms: Heavy menstrual bleeding, prolonged periods, pelvic pain or pressure, and frequent urination.
• Expert Insight: “Not all fibroids require surgery. We use ultrasound diagnostics to monitor them. Treatment ranges from medication to minimally invasive procedures like hysteroscopic myomectomy, depending on the size and symptoms.”

3. Endometriosis

A condition where tissue similar to the uterine lining grows outside the uterus.

• Symptoms: Severely painful periods, chronic pelvic pain, pain during intercourse, and infertility.
• Expert Insight: “Endometriosis is often underdiagnosed. At Inova, we utilize laparoscopic surgery not just for diagnosis but also for precise excision of endometrial implants, offering significant pain relief and improving fertility outcomes.”

4. Pelvic Inflammatory Disease (PID)

An infection of the female reproductive organs, often caused by STIs.

• Symptoms: Lower abdominal pain, fever, unusual vaginal discharge, and painful urination.
• Expert Insight: “Prompt antibiotic treatment is essential to prevent long-term complications like chronic pain and ectopic pregnancy. We advocate for regular screenings and safe practices.”

5. Menstrual Disorders

This includes heavy bleeding (menorrhagia), absent periods (amenorrhea), and extremely painful periods (dysmenorrhea).

• Expert Insight: “Abnormal periods are not something you have to ‘just live with.’ We investigate underlying causes—hormonal imbalances, thyroid issues, or structural problems—and tailor treatment accordingly, from hormonal IUDs to advanced therapies.”

6. Pelvic Organ Prolapse

A condition where pelvic organs (e.g., bladder, uterus) descend into the vagina due to weakened muscles.

• Symptoms: A feeling of fullness or pressure in the pelvis, seeing a bulge, and urinary incontinence.
• Expert Insight: “This is common, especially after childbirth. Treatments include pelvic floor physiotherapy and surgical options like robotic-assisted surgery for precise and durable repairs.”

Advanced Treatment Options at Inova Hospital, Kathmandu

Under the guidance of Dr. Sabita Singh, Inova Hospital offers a full range of treatments, from conservative management to advanced minimally invasive surgery.

• Pharmacological Management: Using hormones, antibiotics, and other medications to manage conditions like PCOS, PID, and endometriosis.
• Minimally Invasive Laparoscopic Surgery: For conditions like fibroids, endometriosis, and cysts. Benefits include smaller incisions, less pain, and faster recovery.
• Hysteroscopic Procedures: To remove fibroids or polyps through the natural opening of the cervix, requiring no abdominal incisions.
• Management of Menopausal Symptoms: Personalized Hormone Replacement Therapy (HRT) and counseling to help women navigate perimenopause and menopause with ease.
• Preventive Care and Health Screenings: Regular Pap smears, HPV vaccinations, and health consultations are key to preventing and early detection of issues like cervical cancer.

FAQs with Dr. Sabita Singh

Q: When should a woman see a gynecologist?
Dr. Singh: “Beyond an annual wellness exam, you should schedule a visit if you experience irregular or painful periods, unusual vaginal discharge, pelvic pain, or are planning a pregnancy. Prevention is always better than cure.”

Q: Are minimally invasive surgeries safe?
Dr. Singh: “Absolutely. At Inova Hospital, we prioritize minimally invasive techniques like laparoscopy because they are highly safe, effective, and significantly reduce a patient’s recovery time, allowing them to return to their normal lives quicker.”

Q: What makes Inova Hospital’s Gynecology department unique?
Dr. Singh: “We combine state-of-the-art technology with a patient-centric approach. We listen to our patients, understand their concerns—whether they are about family planning, infertility, or a complex condition—and create a personalized treatment plan in a supportive and confidential environment.”

Your Health is Our Priority

Don’t let gynecological problems disrupt your life. With expert care from Dr. Sabita Singh and the dedicated team at Inova Hospital, Kathmandu, you can find effective solutions and compassionate support.

Take the first step towards better health. Schedule your consultation with leading gynecologist Dr. Sabita Singh today.