DR. KIRTI P. KHEWALKAR

We address to all gynaecological problems from adolescence to menopause. Consultation and management for all the common problems like: Heavy or Irregular Menses, Vaginal Discharge, Vulval Itching, UTI, Fibroids , PCOD, Pelvic Pain and Ovarian Cyst is given. We keep ourselves updated and believe in following newer conservative treatment before advising the patient to directly undergo major surgery (Hysterectomy) which is the last choice. We believe in proper counseling and allowing them to make an informed choice for their own health care needs.

Gold Rush Hospital is a leading obstetrics and gynaecology Hospital, specialized in complete care of the would be mother. Real care starts long before the conception in form of Pre-conceptional medical consulation. Here at Gold Rush Hospital, we offer counseling for various medical (diabetes, hypertension, thrombophilia, auto immune diseases, renal diseases) & genetic diseases ( mental retardation, structural anomaly, Down’s syndrome, congenital heart diseases) in the family & pre-pregnancy work up long before you plan to conceive. This optimizes the chances of successful conception reducing various would be risks in pregnancy. We guide you to have a smooth journey during your pregnancy period and deliver a healthy baby with minimal complications. Pre & Post Pregnancy Care The check up starts as soon as your pregnancy test shows a positive result . First trimester A viability scan is done and patient is kept under regular follow up. Our highly qualified dieticians care for your nutrition during the first three months when the problems of nausea & vomiting are most bothering. Second trimester A regular check up of overall (mental as well as physical) fetal growth, maternal weight gain, Blood pressure, urine protein is done. A battery of tests and ultrasound are offered at various intervals. Diet rich in iron and calcium is advised. You can enroll yourself for prenatal yoga & breathing exercises. Third trimester Regular check up for the growth of the Baby, BP, Weight Gain and Urine Protein levels are done. Few blood tests like Hemoglobin and urine examination is repeated. Regular fetal assessment is done by in house ultrasound to check the weight gain, growth of baby, amount of liquor. We also do Cardiotopography (non stress test) in the Ninth month for fetal assessment. Preparing for Labour Proper counseling for labour and delivery is done. Breathing exercises, yoga and laction counseling is done to subside all your anxietis and prepare you for the final day. Delivery We wait till your EDD (expected date of delivery) or natural onset of labour in all uncomplicated pregnancies. We also offer painless C-Section delivery. You can choose according to the affordability and the standard of care you want. High Risk Delivery Few cases need early termination such as IUGR (Intra uterine growth retardation), Poor Doppler Studies, Decrease Liquor, Hypertension ,Diabetes, BOH. Steroid cover is given to avoid respiratory complications in such babies. Aggressive biweekly fetal assessment is done by ultrasound (Biophysical profie) and NST (non stress Test) to pick up fetal distress at the earliest and plan a timely delivery. During pregnancy We try to manage with minimum medication and more of complementary therapies for subtle problems like backache, nausea ,mood swings ,leg cramps, insomnia, depression. Post-Delivery Care We guide you to take proper care of you and your newborn. Timely medical advise from our knowledge rich experts is been given for proper nutrition & lactation. Qualified Physiotherapist can help you overcome Chronic backache. Six weeks post delivery, you can consult and opt for a proper contraceptive method. We believe that pregnancy is a natural physiological state rather than a disease and we hope to make your pregnancy and motherhood experience a safe, enjoyable and memorable one. Parenthood is a cherished dream of every couple. In the view of experiencing you the joy of parenthood, our professional hospitality, care & services throughout would be a must visit reason to Gold Rush Hospital.

Regular Health Check-ups For Women Problems In Common – Menstrual irregularities Painful periods PCOS – it is a very common and causes a lot of distress in the young females because of irregular cycles, facial hair growth, acne. It also leads to infertility later in some cases. We offer good counseling, specific treatment in these cases. The main stay of treatment in PCOS is weight loss. We also have special diet & weight loss plans tailor made for PCOS patients by our expert nutritionists General Gyne check-up Breast examination Cervical Cancer Vaccination Pap smear for cervical cancer Colposcopy and guided biopsy (if required) TVS (ultrasound for endometrial thickness) Dietary advise for bone health, cardiac health

All major Obstetrical & Gynecological Surgeries Hysterectomy NDVH Vaginal prolapse surgery Laparotomy Recanalization Diagnostic lap & Hystero for infertility Laparoscopic ovarian drilling Laparoscopic Recanalization for tubal block Laparoscopic salpingectomy for ectopic pregnancy Laparoscopic cystectomy for ovarian cyst Diagnostic Hysteroscopy Hysteroscopic septal resection Laparoscopic ligation

Childbirth, repeated heavy lifting, chronic diseases or surgery can weaken the pelvic floor and cause pelvic floor disorders, which commonly includes: Incontinence – leaking or loss of bladder or bowel control Prolapse – weakening of the pelvic muscles that cause the pelvic organs to descend Emptying disorders – difficulty urinating or moving bowels, including chronic constipation Pelvic discomfort – pain or burning in the pelvis Overactive bladder – urge to urinate frequently Recurrent UTI Most of the women are reluctant to seek help because of awkwardness. Our experts in urology and gynecology work as a team to provide a treatment plan that suits your lifestyle—from surgical and non-surgical treatments It helps in a speedy recovery and hence a life full of joy bypassing discomfort and embarrassment.

Negligence to hormonal fluctuation sometimes causes significant clinical problems – Hot Flushes Mood Swings Sexual Dysfunction Prolapse Urinary Incontinence These create significant hindrance in the daily routine We understand the physical and emotional challenges associated with it and try to overcome them by lifestyle measures, natural remedies, hormone replacement therapies.

The fastest-growing specialisation for women is cosmetic gynaecology, also known as female cosmetic genital surgery (fcgs). It comprises procedures to improve the vulva/vaginal region’s aesthetic appearance as well as vaginal repairs to improve or restore sexual performance that has been compromised by childbearing or ageing. Aesthetic gynaecology, often known as cosmetic gynaecology, is swiftly rising to the top of the list of women’s elective surgical subspecialties. This comprises treatments that enhance the exterior vulvar or vaginal region’s aesthetics. In fact, labiaplasty operations have emerged as one of the most rapidly expanding fads in women’s cosmetic surgery. These are the top five treatments in cosmetic gynaecology: i)Hymenoplasty : replacing a hymen that has been damaged by first sexual contact, horseback riding, or cycling. In most nations, an intact hymen is a sign of virginity. ii)Vaginoplasty : is the term for the procedure of tightening or rejuvenating the vagina for sexual pleasure. iii)Labiaplasty : reduces the size of the vaginal lip and enhances the look of the inner labia. iv)Remove the tissue that typically covers the clitoris with a hoodectomy or clitoral unhooding. v)Monsplasty : This procedure lifts, sculpts, and tightens the pubis, or “bikini bridge,” which can be noticeable when wearing clothing.

Gynecological laparoscopic surgery is a minimally invasive procedure that enables the surgeon to do the procedure without creating a significant incision. Via a tiny incision, a laparoscope—a thin, illuminated tube with a camera on the end—is introduced into the abdomen. The surgeon can examine the pelvic organs and do surgery without making a significant incision thanks to the camera, which transmits photos of the inside of the body to a TV monitor in the operating room. In the abdomen, further tiny incisions might be created so that specialised, ultra-fine surgical equipment can be inserted. Less pain compared to open abdominal surgery, fewer problems, less scarring, shorter hospital stays, and quicker recovery are some advantages of laparoscopic gynaecological surgery. Most patients leave the hospital the same day (for outpatient surgery) or the next morning. Endometriosis, fibroids, ovarian cysts, ectopic pregnancies, sterilisation, pelvic difficulties including urine incontinence, and pelvic support issues like uterine prolapse are just a few of the gynecologic illnesses that can now be treated with laparoscopic surgery instead of through huge incisions. A laparoscopic hysterectomy and a laparoscopically assisted vaginal hysterectomy are just a few of the treatments it can be utilised for.