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Endometriosis: Diagnosis, Treatment, and Long-Term Management
Endometriosis is a prevalent illness that can negatively impact quality of life, involve several organ systems, and cause pelvic pain and infertility.There is presently no cure for endometriosis, and its etiology is not entirely understood. While a clear histological diagnosis can be obtained through surgery, the majority of worldwide recommendations currently suggest a nonsurgical diagnosis based on physical examination findings, imaging results, and symptoms in order to minimize therapeutic delays. In order to treat persistent pain resulting from central sensitization and nociplastic pain processes, a multidisciplinary approach may be necessary in addition to hormone suppression, surgery, or a combination of the two.
About the Speaker
Dr. Richika Sahay
Senior Consultant Pediatrician, Mayflower Hospital, Hyderabad
Dr. Richika Sahay Shukla is infertility and IVF Specialist. She is a well qualified and trained professional. Dr. Richika has wide experience and has done extensive training in the field of IVF-ICSI & Gynecological Endoscopy. She has worked with some of the pioneer institutes in India such as AIIMS and Sir Ganga Ram Hospital. She is an expert in doing In- Vitro fertilization(IVF)/ICSI by various protocols and in difficult cases like an elderly patient, postmenopausal, poor ovarian responders. She is an expert in doing Surrogacy, Donor eggs conception. She is an expert in doing difficult oocyte retrieval (adhered ovaries, high ovaries, ovaries with endometriosis). She is an expert in doing difficult Embryo transfers. She has made several patients conceive by doing fertility enhancing surgeries by Laparoscopy and Hysteroscopy (like septal resection, intrauterine adhesiolysis, myomectomy, tubal cannulation). She is well versed with Ultrasound catering to infertility, GYN & OBG.
Upcoming Case Discussions
Endometriosis- Updates
Endometriosis is a chronic gynecological condition where endometrial-like tissue grows outside the uterus, causing pelvic pain, dysmenorrhea, dyspareunia, and infertility. The ectopic tissue responds to hormonal changes, leading to inflammation, adhesions, and scarring. Diagnosis is based on clinical symptoms, imaging (ultrasound, MRI), and confirmed by laparoscopy with biopsy. Treatment includes NSAIDs, hormonal therapy (OCPs, progestins, GnRH analogs), and surgical excision for severe cases. Fertility treatments like IVF may be needed. While not curable, early diagnosis and management can relieve symptoms and improve quality of life.
Case-Based Approach to Managing GI Malignancies
A Case-Based Approach to managing gastrointestinal (GI) malignancies involves applying a personalized, patient-centered strategy using specific case details to guide treatment decisions. It emphasizes a multidisciplinary team approach, where oncologists, surgeons, pathologists, and radiologists collaborate to determine the best course of action based on tumor type, stage, and patient factors. This method allows for tailored treatment plans, integrating surgery, chemotherapy, radiotherapy, and targeted therapies to optimize outcomes. By discussing individual cases, this approach also aids in identifying potential challenges and refining management protocols to improve patient care.
Acne: Disorders and Treatment Approaches
Acne is a common dermatological condition caused by clogged pores, excess sebum production, bacterial growth, and inflammation. It can manifest as blackheads, whiteheads, papules, pustules, or cysts, often leading to scarring if untreated. Various factors, including hormonal changes, diet, stress, and genetics, influence its severity. Treatment approaches range from topical and oral medications, such as retinoids, antibiotics, and hormonal therapy, to advanced procedures like chemical peels and laser therapy. A personalized skincare regimen, along with lifestyle modifications, plays a crucial role in managing and preventing acne.
Cardiac Rehabilitation
Cardiac rehabilitation is a structured program designed to improve cardiovascular health after heart-related conditions such as heart attacks, heart failure, or surgeries like bypass or stenting. It includes supervised exercise, heart-healthy lifestyle education, nutrition counseling, stress management, and medication guidance. The goal is to enhance heart function, reduce the risk of future heart problems, and improve overall well-being. A multidisciplinary team, including doctors, physiotherapists, and dietitians, tailors the program to each patient’s needs. Regular participation in cardiac rehab lowers mortality rates, prevents hospital readmissions, and promotes long-term cardiovascular health, making it an essential part of heart disease recovery.
Role of Telemedicine in Modern Healthcare
Telemedicine plays a crucial role in modern healthcare by enabling remote consultations, reducing the need for in-person visits, and improving access to medical expertise. It enhances patient care through real-time diagnosis, chronic disease management, and mental health support. By integrating AI and digital health technologies, telemedicine streamlines workflows and optimizes healthcare delivery. It is especially beneficial in rural and underserved areas, bridging gaps in specialist care. As technology advances, telemedicine continues to revolutionize healthcare, making it more efficient, accessible, and patient-centered.
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Dr. Richika Sahay's Talks on Assimilate
- 5th-July-2024, TIME : 5:00PM TO 6:00 PM
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Endometriosis is a prevalent illness that can negatively impact quality of life, involve several organ systems, and cause pelvic pain and infertility.There is presently no cure for endometriosis, and its etiology is not entirely understood. While a clear histological diagnosis can be obtained through surgery, the majority of worldwide recommendations currently suggest a nonsurgical diagnosis based on physical examination findings, imaging results, and symptoms in order to minimize therapeutic delays. In order to treat persistent pain resulting from central sensitization and nociplastic pain processes, a multidisciplinary approach may be necessary in addition to hormone suppression, surgery, or a combination of the two.