13 Aug 2022 | 5 min Read
Author | 2 Articles
Her main focus areas as a gynaecologist are PCOS, infertility, and high-risk pregnancy and she has over 29 years of clinical and eight years of research experience in the field, who better than Dr Sandhya Saharan can explain fertility and pregnancy issues?
Interestingly, when she’s not doing her doctor duties, she enjoys dancing and dramatics. BabyChakra had an insightful and interesting conversation with Dr Sandhya about fertility treatment, PCOS, infertility, and high-risk pregnancy.
I wanted to be an obstetrician and a gynaecologist to witness a miracle every day, that is the miracle of a newborn child, the miracle of life.
My practice is both OBGY and infertility with special emphasis on PCOS. The best part about my practice is that patients trust me with their deepest feelings, anxieties, and insecurities and also share their happiness with me. I become a part of their family which is a very precious feeling.
Change is a constant feature as the world is evolving so is medicine. We have IT-driven systems, virtual medicine, Webinars, Live relay of conferences, tele medicine, tele consultation, robotics, state of art diagnostic modalities with newer machines both lab and radiology. AI-driven technology enables both diagnosis and treatment, simulation labs, and online training. Operating rooms have the latest equipment with monitors, some have 3-D technology, and customised OTs.
There are many issues in pregnancy especially hypertensive disease, diabetes mellitus, abnormal placentation, advanced age pregnancy, IVF pregnancy, stress is a very important factor complicating pregnancy, bleeding problems during pregnancy and preterm labour.
Common gynecologic problems are abnormal vaginal discharge, urinary tract infections, painful periods called dysmenorrhea, irregular periods and abnormal bleeding patterns, especially during menopause, fibroids, PCOS, endometriosis, adenomyosis, ovarian masses, cysts, and prolapse uterus.
I have had many challenging cases as I have been practising for 30 years and it is technical for this dialogue, many of them are tackling high-risk delivery.
My core areas are infertility high-risk pregnancy and PCOS, all of which are very important today as they are linked to lifestyle and behaviour patterns and they can be addressed by early diagnosis, treatment and also lifestyle modification.
In PCOS chances of pregnancy are a little lesser than normal.
Yes, the chances are there but not very high. Complications like fetal growth retardation, preterm labour and gestational diabetes are high.
High-risk pregnancies are those with advanced maternal age, multi-parity, hypertensive disease of pregnancy, diabetes mellitus, twin pregnancy, cardiac disease in pregnancy, obesity, and previous surgeries like cesarean section, myomectomy, and placenta previa.
Common causes of infertility are advanced age, obesity, irregular cycles with hormonal imbalance causing ovulation, PCOS, endometriosis, sexual dysfunctions, substance abuse like smoking alcohol, drug abuse, and anatomical causes affecting the uterus, tubal blocks, tuberculosis of the genital tract, male factor infertility with low sperm count.
Infertility is increasing and the prevalence is from 9 to 15% with increased incidence in urban areas.
Fertility rates are steadily dropping in urban areas.
The major factors which affect fertility treatment are the inability to address the issue, late diagnostic workup, the advanced age of marriage and time constraints with career demands and expenses involved in treatment.
In urban areas, there is no preference for male or female gynaecologists, but in rural areas, there is still a preference for female gynaecologists.
The main role as an advisor to Baby Chakra is to give evidence-based information regarding the latest in OBGY which will benefit the public, as well as pregnant patients, dispel myths and taboos and instil confidence in people to read about the topics, and attend the interactive sessions and ask questions.
I think in this new age where technology, innovation and medicine are constantly evolving, it is necessary to stay abreast with the latest development, imbibe them in day-to-day practice, and follow what is the best to ensure good health. Women’s health is an integral part of healthcare worldwide and needs utmost attention.