Your Treatment Options
Endometriosis and PCOS
The treatment options for the gynaecological medical conditions mentioned, depends very much on the diagnosis and severity of the condition.
“For patients who have been diagnosed with PCOS or endometriosis, medication will usually be the first line of treatment,” says Dr.Nurhazinat. One treatment example is the prescription of hormone treatments to regulate your menstrual cycle. Aside from that, the doctor would also advice the patient to maintain a healthy weight and go on a healthy diet.
“However, if medications are not a suitable treatment or was not a successful one, the following treatment option would be surgery,” she explains. “For patients with PCOS, a surgery known as ovarian drilling will be performed. This surgery will help to regulate your hormones, induce ovulation and regulate your menstrual cycle.”
As for patients with endometriosis on the other hand, a laparoscopic procedure will be performed to treat the condition.” At the same time, if a doctor suspects other fertility issues such as one which involves your fallopian tube, the doctor will be able to check on that as well,” adds Dr. Nurhazinat.
For patients diagnosed with ovarian cysts, treatments can range from medication such as hormonal pills to surgery. For some, the cysts may even go away on its own.
However, if it doesn’t and becomes a cause for concern, your doctor will perform a surgery to remove the cyst and this increases your chances of getting pregnant.
Pelvic Inflammatory Disease
“For patients with PID, a doctor will usually prescribe antibiotics to treat the condition,” she says. However, if the treatment of antibiotics was not able to treat the condition, a laparoscopic surgery may be advised.
Treatment for uterine fibroids depends very much on the severity of your condition such as the size of the fibroids, its position and the symptoms it causes which can include heavy periods.
“If the fibroid is small, less than three centimetres and does not present much symptoms which is affecting the patient’s quality of life, then the doctor will most probably observe the patient’s situation before proceeding with treatment,” explains Dr. Nurhazinat. “However, if the fibroid is above five centimetres in size and causes symptoms which affects a patient or situated close to the endometrium lining, then the doctor may perform a surgery to remove the fibroids. This will increase a patient’s chance of conceiving.”
Conceiving a baby
After seeking treatment, the next aim is to get pregnant.
Firstly, Dr. Nurhazinat clarifies that, “For a healthy woman who does not have any gynaecological medical conditions, her chances of getting pregnant is not 100 percent but about 10 to 20 percent each month. Hence, our aim as a medical expert is to achieve this for our patients as well.”
After seeking treatment, your doctor may advice you to try conceiving the natural way. “Generally, the patient will be advised to try this method for about six months to a year. However, this also depends on the woman’s age,” she says. The reason why fertility specialist have taken your age into account, is because, as you get older, this will decrease your chances of getting pregnant.
So, what is the next step if you were not able to conceive within the period of time as discussed with your doctor?
Dr.Nurhazinat says that, “If the patient and her partner has tried every other method but was not able to conceive, medical assisted reproduction will be suggested. Treatment options such as intrauterine insemination (IUI) and In-Vitro Fertilisation (IVF) will be explored.”
The former, IUI is a fertility treatment which involves injecting the sperm into the woman’s uterus to facilitate fertilisation. The latter, on the other hand, is a treatment which involves combining the ovum and sperm in a procedure which will be conducted in a procedure which will be conducted in a laboratory. After the ovum and sperm has been fertilised and becomes embryo, the fertility specialist will then, place the embryo in the womb and the couple’s pregnancy journey will continue as normal.
Gynaecological medical conditions can occur at any stage of your life. “What is most important is that you are able to control the disease,” says Dr. Nurhazinat.
Her parting advice to women is, “Go for regular health check-ups which should be annually or once in every two years. If you have been diagnosed with a medical condition, seek treatment as this help to increase your chances of getting pregnant.”
As for couples who are planning to start a family, she says, “start family planning as early as possible but of course, it is important to ensure that both husband and wife are ready to embark on this journey. You should also maintain a healthy weight, lifestyle and have a moderate intake of alcohol.”
Dr. Nurhazinat Bt Mohamed Yunus is an Obstetrician & Gynaecologist and Fertility Specialist at TMC Fertility & Women’s Specialist Centre (http://www.tmcfertility.com). For more enquiries or to schedule an appointment, please call: +60 3 6287 1000 or email us at firstname.lastname@example.org
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