Uterine fibroids are non-cancerous growths in or around the uterus. They are common and often cause heavy periods, pelvic pain, frequent urination, or difficulty conceiving. Some fibroids are small and need only monitoring, while others require treatment.
Medway assesses each case carefully, keeping fertility goals and personal circumstances in mind before recommending anything.
Treatment
Treating uterine fibroids is not a one-size-fits-all approach. At Medway, we look at your age, your symptoms, the size and number of fibroids, and whether you are planning a pregnancy before suggesting a course of action. Our team offers a range of treatment options from the most conservative to surgical, depending on what suits you best.
Medication: For women with mild to moderate symptoms, hormonal medicines can help regulate the menstrual cycle, reduce heavy bleeding, and even shrink fibroids over time. We may recommend progesterone-releasing IUDs, GnRH agonists, or other hormone-based therapies that give relief without the need for surgery.
Minimally Invasive Procedures: For women who want to preserve their uterus and avoid major surgery, we offer procedures like:
- Uterine Artery Embolisation (UAE) — a procedure that cuts off the blood supply to fibroids, causing them to shrink naturally
- Laparoscopic Myomectomy — a keyhole surgery where fibroids are removed with minimal cuts, faster recovery, and less scarring
- Hysteroscopic Myomectomy — for fibroids that grow inside the uterine cavity, removed through the cervix without any external cuts
Surgical Treatment: In cases where fibroids are very large, numerous, or causing serious complications, we may recommend a myomectomy (removal of fibroids while keeping the uterus) or, in more complete cases, a hysterectomy (removal of the uterus). Our surgeons are skilled in performing these procedures with precision and care, using the least invasive approach possible.
Recovery and follow-up are a key part of treatment at this gynecology hospital in Chennai. After any procedure, our team monitors your progress closely and guides you on diet, rest, and activity so that you heal well and get back to your normal life as smoothly as possible.
Ovarian cysts are fluid-filled sacs on or inside the ovaries. Many are harmless and go away on their own. Others — like endometriomas, dermoid cysts, or cystadenomas — may grow larger and cause pelvic pain, bloating, or pain during intercourse.
Medway uses ultrasound and blood tests to assess every cyst and only recommends intervention when truly necessary.
Treatment
The treatment for an ovarian cyst depends largely on its size, type, and the symptoms it is causing. At Medway, our approach is always guided by evidence and tailored to what is right for you.
Watchful Waiting: If the cyst is small, looks benign on imaging, and is not causing any significant discomfort, we may simply monitor it with periodic ultrasounds over a few months. Many functional cysts resolve on their own, and no further action is needed.
Medication: Hormonal contraceptives such as the pill may be prescribed to prevent new cysts from forming, especially in women who have had recurrent functional cysts. This is not a treatment that shrinks existing cysts but helps prevent future ones.
Laparoscopic Surgery: When a cyst needs to be removed, we prefer laparoscopic (keyhole) surgery wherever possible. Through small incisions, the surgeon removes the cyst carefully while preserving the ovary. This approach leads to less pain, quicker recovery, and minimal scarring compared to open surgery.
Open Surgery: In rare cases involving very large cysts, suspected malignancy, or complications, open surgery may be the safer option. Our surgical team is well-equipped and experienced in handling such cases with precision and care.
If there are any concerns about a cyst being cancerous, our team will coordinate with the oncology department at Medway for immediate further evaluation. Our goal is always to give you clarity quickly and act appropriately.
Symptoms of an Ovarian Cyst:
- Abdominal or pelvic pain, especially during menstruation or sexual activity
- Bloating or swelling in the abdomen
- Painful urination or difficulty emptying the bladder
- Changes in menstrual cycle, such as irregular periods
- Nausea or vomiting, particularly if the cyst twists or ruptures
- Pain in the lower back or thighs
- Breasts tenderness or discomfort
- Unexplained weight gain
Cervical dysplasia means abnormal cells on the cervix. It is not cancer, but it can develop into cancer if untreated. It usually has no symptoms and is detected through a Pap smear. It is graded as CIN 1 (mild), CIN 2 (moderate), or CIN 3 (severe) based on how many cell layers are affected. HPV infection is the most common cause.
At Medway, abnormal Pap smear results are explained clearly — so you understand your situation without unnecessary anxiety.
Treatment
The approach to treating cervical dysplasia depends on how severe the abnormal changes are and your individual health picture. At Medway, we make sure you understand your options clearly before any procedure is carried out.
Active Surveillance: For mild dysplasia, especially in younger women, we often take a wait-and-watch approach with repeat Pap smears and HPV tests every 6 to 12 months. The body’s immune system can often clear low-grade dysplasia on its own.
Colposcopy: If your Pap smear shows abnormal results, we may recommend a colposcopy — a close examination of the cervix using a special magnifying instrument. This helps the doctor see the abnormal area more clearly. A small tissue sample (biopsy) may also be taken during this procedure for testing.
Excision Procedures: For moderate to severe dysplasia, the abnormal tissue needs to be removed. Options include:
- LEEP (Loop Electrosurgical Excision Procedure) — a thin wire loop uses mild electrical current to remove abnormal cells. It is a quick, outpatient procedure with minimal discomfort.
- Cone Biopsy (Conization) — a cone-shaped piece of tissue is removed from the cervix for both diagnosis and treatment.
- Cryotherapy — the abnormal cells are frozen and destroyed using a very cold probe. This is used for less severe dysplasia.
After treatment, regular follow-up with Pap smear testing is important to make sure the dysplasia has been fully removed and has not returned. Our team at this best gynecology hospital in Chennai provides complete post-treatment care and guidance.
Pelvic Inflammatory Disease (PID) is a serious infection of the female reproductive organs, including the uterus, fallopian tubes, and ovaries. This condition is most commonly caused by sexually transmitted bacteria, such as Chlamydia trachomatis and Neisseria gonorrhoeae, though other types of bacteria can also lead to PID. The infection typically ascends from the vagina or cervix to the upper genital tract. Consulting a gynecology hospital in Chennai is crucial for prompt and appropriate treatment to prevent severe and potentially irreversible complications, such as chronic pelvic pain, ectopic pregnancy, and infertility.
Treatments
Antibiotics: The primary treatment for PID involves a course of antibiotics. The specific antibiotics prescribed depend on the bacteria causing the infection. Often, a combination of antibiotics is used to cover a broad spectrum of potential pathogens. It is vital for patients to complete the entire course of antibiotics, even if symptoms improve, to ensure that the infection is fully eradicated.
Hospitalization: In severe cases of PID, hospitalization may be required. This is particularly true if the patient is severely ill, pregnant, or not responding to oral antibiotics. In the hospital, patients may receive intravenous (IV) antibiotics, which can be more effective in severe infections. Hospitalization also allows for close monitoring and supportive care, including fluids and pain management.
Pain Management: Managing pain is an important aspect of treating PID. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help alleviate mild to moderate pain. In more severe cases, stronger prescription pain medications may be necessary. In addition to medication, applying heat (such as a heating pad) to the lower abdomen can provide relief.
Partner Treatment: To prevent reinfection, it is essential that sexual partners of individuals diagnosed with PID are also treated, even if they do not have symptoms. This typically involves a course of antibiotics. Abstaining from sexual intercourse until both partners have completed their treatment and are confirmed to be infection-free is crucial to prevent recurrence.
Follow-up Care: Regular follow-up visits with a healthcare provider are necessary to ensure that the infection has been completely cleared and to monitor for any complications. These check-ups may include pelvic exams, ultrasounds, or other imaging studies. In some cases, additional laboratory tests may be needed to confirm that the infection has resolved.
Gynaecologic cancers include cervical, uterine, ovarian, vulvar, and vaginal cancers. Warning signs include abnormal bleeding, unusual discharge, persistent pelvic pain, or bloating. Many early-stage cancers have no symptoms — making regular screening critical.
Medway’s multidisciplinary team — gynaecologist, oncologist, radiologist, and pathologist — works together to diagnose and treat each case. All investigations are done in-house: Pap smears, colposcopy, biopsy, ultrasound, CT, MRI.
Treatment
Cancer treatment at Medway is highly personalised. The type of cancer, the stage at diagnosis, your age, and your overall health all influence the treatment plan. Our team explains every step of the process clearly and supports you and your family through the journey.
Surgery: Surgery is often the first and most important step in treating gynecologic cancers, especially for uterine and cervical cancers. Depending on the stage, this may involve removing the uterus (hysterectomy), ovaries, fallopian tubes, or nearby lymph nodes. We use minimally invasive laparoscopic and robotic-assisted techniques wherever possible to reduce pain and speed up recovery.
Radiation Therapy: Radiation is used to kill cancer cells using high-energy rays. It can be used as the main treatment, in combination with surgery, or to reduce the chance of cancer coming back after surgery. Our team carefully plans the dosage and delivery to target only the cancer cells while protecting the surrounding healthy tissue.
Chemotherapy: Chemotherapy uses medicines to destroy cancer cells throughout the body. It is commonly used for ovarian cancer and may also be recommended alongside radiation for cervical and uterine cancers. Our oncology team monitors patients carefully during chemotherapy to manage side effects and keep you as comfortable as possible.
Targeted Therapy and Immunotherapy: For certain types and stages of cancer, newer treatments such as targeted therapy (medicines that target specific cancer cell signals) or immunotherapy (treatments that help the immune system fight cancer) may be recommended. Our doctors stay updated with the latest treatment guidelines and clinical advances to offer you the best available options.
Palliative Care: For patients in advanced stages, our focus also includes palliative care — managing pain, improving comfort, and supporting emotional and mental well-being. We believe that good care goes beyond just treating the disease; it includes caring for the whole person.
After treatment, regular follow-up appointments are critical. Our best lady gynaecologists in Chennai schedule periodic check-ups, imaging scans, and blood tests to monitor your recovery and catch any signs of recurrence as early as possible.
