What are the opening hours?

Monday 09:00 - 17:00 Tuesday 09:00 - 20:00 Wednesday 09:00 - 14:00 Thursday 09:00 - 20:00 Friday 09:00 - 13:00 Saturday 09:00 - 20:00 Sunday 09:00 - 13:00

Dr. Ayesha Amjad, CHINIOT, Chiniot (2025)

22/08/2025

That surgery you hear about where a woman’s womb is removed doesn’t always require a big cut…

Let’s talk about Laparoscopic Hysterectomy.

This is a modern surgical method where doctors remove the uterus through tiny openings in the abdomen, instead of one large incision. A small camera and special instruments are used to see inside and perform the surgery.

Why might a woman need this surgery?

Fibroids causing pain or heavy bleeding

Endometriosis

Persistent pelvic pain

Cancer of the uterus or cervix

Severe abnormal bleeding that doesn’t respond to treatment

What makes it better than open surgery?

Smaller scars

Less pain after surgery

Quicker recovery

Shorter hospital stay

But like any surgery, it has risks such as bleeding, infection, or injury to nearby organs though these are rare.

Moral of the story: If a hysterectomy is ever recommended, ask your doctor about the laparoscopic option. It could make recovery smoother and faster.

22/08/2025

This is a 13–14 week old fetus that was surgically removed due to an ectopic pregnancy a serious and potentially life-threatening condition where the fertilized egg implants outside the uterus, most commonly in the fallopian tubes. In rare and extreme cases, if the pregnancy progresses undetected, the fetus can grow beyond the typical early stages. However, the surrounding structures (like the fallopian tube or abdominal cavity) are not designed to support a full pregnancy, eventually leading to rupture, severe pain, internal bleeding, and the need for emergency intervention.

The fetus appears well-developed for its gestational age, with visible limbs, eyes, and overall structure. A standard 5 mL syringe is placed next to the fetus to provide scale, showing just how small and delicate the fetus is at this stage. This case is medically rare because most ectopic pregnancies are diagnosed and treated in the early weeks before such advanced development occurs. Ectopic pregnancies at this stage often result in emergency surgery to remove the fetus and control internal bleeding, with the patient requiring immediate medical support and follow-up.

This image is a powerful and somber reminder of the importance of early prenatal care, routine ultrasounds, and monitoring for early symptoms like abdominal pain or vaginal bleeding in early pregnancy.

22/08/2025

(عورت کا ڈھلکا ہوا جسم اور اس کا علاج)
عورت کے جسم کے ڈھلکنے (Sagging) کی کئی وجوہات ہو سکتی ہیں، جن میں عمر، ہارمونی تبدیلیاں، وزن میں اضافہ یا کمی، غیر متحرک طرزِ زندگی، غیر متوازن خوراک، اور حمل و ولادت شامل ہیں۔ اس مسئلے سے بچنے اور جسم کو دوبارہ ٹائٹ اور سڈول بنانے کے لیے درج ذیل نکات مددگار ثابت ہو سکتے ہیں۔

وجوہات اور اسباب:

1. عمر میں اضافہ – عمر بڑھنے کے ساتھ کولیجن اور ایلاسٹن کی مقدار کم ہو جاتی ہے، جس سے جلد ڈھیلی پڑ جاتی ہے۔

2. وزن میں اچانک کمی یا اضافہ – تیزی سے وزن کم کرنے یا بڑھانے سے جلد کھنچ جاتی ہے اور پھر واپس اپنی اصلی حالت میں نہیں آتی۔

3. ہارمونی عدم توازن – ایسٹروجن کی کمی، خاص طور پر مینوپاز کے دوران، جلد اور مسلز کی کمزوری کا باعث بن سکتی ہے۔

4. حمل اور ولادت – حمل کے دوران جلد کھچتی ہے اور اگر مناسب دیکھ بھال نہ کی جائے تو ڈھلک سکتی ہے۔

5. غیر متوازن خوراک – پروٹین، وٹامنز، اور منرلز کی کمی جلد اور عضلات کو کمزور کر سکتی ہے۔

6. ورزش کی کمی – اگر جسمانی سرگرمیاں کم ہوں تو پٹھے (muscles) ڈھیلے پڑ جاتے ہیں اور جلد لٹکنے لگتی ہے۔

احتیاطی تدابیر اور قدرتی طریقے:

1. متوازن خوراک:

پروٹین سے بھرپور غذا (دالیں، انڈے، گوشت، دودھ) لیں۔

وٹامن سی، وٹامن ای، اور کولیجن بڑھانے والے غذائی اجزاء کا استعمال کریں۔

پانی زیادہ پئیں تاکہ جلد ہائیڈریٹ رہے۔

2. ورزش:

اسٹریچنگ اور یوگا – جسم کو لچکدار اور ٹونڈ رکھنے میں مدد دیتی ہیں۔

اسٹرینتھ ٹریننگ – پٹھوں کو مضبوط بناتی ہے اور ڈھیلا پن کم کرتی ہے۔

پیلاٹس اور کور ایکسرسائزز – خاص طور پر پیٹ اور کولہوں کے لیے مفید ہیں۔

3. مالش (مساج) اور آئل تھراپی:

ناریل، زیتون یا بادام کے تیل سے مساج کریں، یہ جلد کو سخت اور نرم و ملائم رکھتا ہے۔

ایلوویرا جیل کا استعمال کریں جو جلد کی لچک بڑھاتا ہے۔

4. ہارمونی توازن برقرار رکھنا

5-سونے اور جاگنے کے اوقات کو درست رکھیں۔

ڈپریشن اور اسٹریس کم کریں کیونکہ یہ ہارمونی نظام کو متاثر کرتا ہے۔

21/08/2025

Hemoglobinopathies in Pregnancy
TOG

18/08/2025

Why Pregnant Women Should Not Take Tetracycline or Piroxicam 🎤🎤🎤

Pregnancy is a very delicate period, and whatever a mother takes can affect her baby. Some medicines that are safe for others may not be safe for pregnant women. Two examples are tetracycline (an ant!biotic) and piroxicam (a pa!n reliever/anti-inflammatory meds).

1. Tetracycline (Antibiotic)

• Harm to baby’s bones and teeth: Tetracycline can cross the placenta and enter the baby’s bloodstream. It binds to calcium and may cause permanent yellow-brown discoloration of the baby’s teeth and can also affect normal bone growth.
• Liver toxicity for the mother: In late pregnancy, it can increase the risk of liver damage in the mother, which can be dängeröus for both mother and child.
• Safer alternatives exist: There are other antibiotics that are safer during pregnancy, so doctors usually avoid tetracycline completely for pregnant women.

2. Piroxicam (Anti-inflammatory pa!n reliever, NSAID)

• Risk of m!scarr!age: Taking piroxicam in early pregnancy has been linked with a slightly higher chance of miscarriage.
• Effect on baby’s heart and kidneys: In late pregnancy, piroxicam can close a vital blood vessel in the baby’s heart (the ductus arteriosus) too early, leading to serious heart and lung problems after birth. It can also reduce the amount of fluid around the baby (amniotic fluid) by affecting k!dney function.
• Complications during delivery: It can interfere with labor by delaying contractions and also increase bleeding risks for the mother.

18/08/2025

Androgens in postmenopausal women
Tog

17/08/2025

This shows a human embryo at approximately 7 weeks of development.

At this stage:

Size & Shape:
The embryo measures around 1.2 cm (about the size of a blueberry) and has a curved, C-shaped body.

Head & Face:
The head is disproportionately large compared to the rest of the body, and dark spots mark the developing eyes.

Circulatory System:
A network of red blood vessels is visible under the translucent skin, indicating rapid development of the cardiovascular system.

Limbs:
Small limb buds are forming into recognizable arms and legs, with early paddle-like hands.

Umbilical Cord & Yolk Sac:
The umbilical cord connects the embryo to the placenta, and the yolk sac provides nutrients until the placenta fully takes over.

17/08/2025

EFFECTIVE WAY TO RELIEVE CONTRACTION PAIN DURING LABOUR🤰

1. Introduction to Labor Contractions and Why They Cause Pain

During labor, the muscles of the uterus tighten and relax in what we call contractions. These contractions help push the baby out. However, they can be painful because muscles tighten very strongly, and this causes a sensation of cramping or pounding in the lower belly and back. Think of it like the muscles working hard to help you deliver your baby, which can sometimes feel uncomfortable or even painful.

2. Breathing Exercises and Relaxation Techniques
Deep breathing helps calm your mind and relax your body. During contractions, try taking slow, deep breaths in through your nose and out through your mouth. This can reduce the pain and make you feel more comfortable. Practice focusing on your breath, and counting each breathe can help you stay calm.🥰

3. Positions that Help Ease Pain During Labor
Changing positions can make a big difference. Standing, kneeling, sitting on a birthing ball, or leaning on your partner or a wall can ease the pressure. These positions help the baby move down and reduce the strength of contractions. Moving around also helps blood flow and can make contractions feel less intense.
👩‍🍼
4. The Role of Massage and Hot/Cold Packs
Gentle massage on your back or shoulders can relax tense muscles and lessen pain. Applying a warm pack or hot water bottle on the lower back or abdomen helps ease cramps. Cold packs can also tighten muscles and reduce swelling. Always keep a cloth between the pack and your skin to prevent burns or frostbite.🤰

5. Medical Options for Pain Relief Such as Epidural and Medication
If natural methods do not reduce pain enough, doctors can offer medicines like epidurals, which are injections that numb the lower part of your body. There are also painkillers that can be given through IV. These options are safe when given by trained medical staff and can help you feel more comfortable during delivery.😇

6. Tips for Mothers to Stay Calm and Positive
Staying calm, smiling, and thinking positively can help manage pain. Listening to relaxing music, praying, or talking to your partner or family members can boost your mood. Remember, your calmness can make the process easier for both you and your baby.👩‍🍼

7. When to Seek Medical Help🤰
If you experience very severe pain, heavy bleeding, or if your water breaks and you notice anything unusual, tell your doctor or nurse right away. It is important to be in a hospital or clinic where trained staff can help you safely.

Note:

Always talk to your doctor or midwife before trying any method to ease labor pain. They will advise what is best and safest for you and your baby.

17/08/2025

Management of
recurrent urinary tract
infections

17/08/2025

German Mother Delivers 13-Pound Baby Girl Without C-Section

In a remarkable birth in Leipzig, Germany, a mother delivered a 13.47-pound baby girl named Jasleen — measuring nearly 23 inches long — without undergoing a C-section. (July 29, 2013)

According to the hospital, the mother arrived in labor and was found to have undiagnosed gestational diabetes, a condition that can lead to unusually large babies if untreated.

“We anticipated the child would be big,” said Holger Stepan, chief of obstetrics. “We assembled a special team of doctors and midwives to be prepared for any possible complications.” Stepan noted he had never before assisted in the birth of such a heavy baby.

Jasleen’s extraordinary size places her among the largest newborns in Germany, though far from the Guinness World Record — held by a baby born in Seville, Ohio, in 1879, who weighed more than 23 pounds but survived only 11 hours.

16/08/2025

Tubo ovarian abcess management

14/08/2025

Pregnancy Location Classification
Categories:
Normal
Abnormal
Unknown

1. Normal Pregnancy Location

Term: Intrauterine Pregnancy (IUP)
Definition: Pregnancy implanted in the upper 2/3 of the uterine cavity, surrounded by decidualized endometrium.
Variants of IUP:
Eccentrically located GS:
Off-midline but fully surrounded by endometrium.
Avoid terms: ‘angular pregnancy’, ‘cornual pregnancy’, ‘eccentric’ (alone).
Key feature: No myometrial thinning; differentiate from interstitial ectopic.
Confirmation: 3D coronal US or short-interval follow-up.
Flowchart: Normal IUP
text
[Start] → GS in upper 2/3 of uterus? → Yes → Fully surrounded by endometrium? → Yes → Report as IUP
↓No ↓No
[Abnormal/Unknown] [Further evaluation]

2. Abnormal Pregnancy Location

Definition: Implantation outside normal uterine cavity or in abnormal uterine sites (e.g., cervix, cesarean scar).
Key Terms:
Ectopic Pregnancy (EP): Implanted outside uterus (e.g., tubal, interstitial, ovarian, abdominal).
Abnormal Intrauterine Implantation:
Cervical pregnancy.
Cesarean scar pregnancy.
Not considered IUP (despite intrauterine position).

Dr. Ayesha Amjad

22/08/2025

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Monday	09:00 - 17:00
Tuesday	09:00 - 20:00
Wednesday	09:00 - 14:00
Thursday	09:00 - 20:00
Friday	09:00 - 13:00
Saturday	09:00 - 20:00
Sunday	09:00 - 13:00