Kisubi Hospital offers advanced gynecological care from regular exams for health maintenance to advanced medical and surgical therapies for complex gynecological conditions and diseases, our gynecologists provide the complete range of services for comprehensive, personalized care, including:
Cervical dysplasia refers to abnormal changes in the cells on the surface of the cervix. The cervix is the lower part of the uterus (womb) that opens at the top of the vagina. While the changes may not be cancerous, they could lead to cancer of the cervix if not treated in time.
Endometriosis is a gynecological condition in which cells from the lining of the uterus (endometrium) appear and flourish outside the uterine cavity, most commonly on the membrane which lines the abdominal cavity, the peritoneum. The uterine cavity is lined with endometrial cells, which are affected by female hormones. Endometrial cells in areas outside the uterus are also influenced by hormonal changes and respond in a way that is similar to the cells inside the uterus. The symptoms of endometriosis are pain and infertility. The pain is often worse during the menstrual cycle and is the most common cause of secondary dysmenorrhea.
Fibroids are non-cancerous (benign) tumors that grow from the muscle layers of the uterus (womb). They are also known as uterine fibroids, myomas or fibromyomas. Fibroids are growths of smooth muscle and fibrous tissue. Fibroids can vary in size, from that of a bean to as large as a melon.
Gynecological cancers are cancers of the female reproductive system and occur when abnormal cells grow in an uncontrolled way. Gynecological cancers are named according to the organ or part of the body where they first develop — the ovary, uterus, cervix, vagina and vulva.
Menopause, when it occurs after the age of 40, is considered a normal part of aging. But some women can experience menopause early, either as a result of surgery, such as hysterectomy, or damage to the ovaries, such as from chemotherapy. If menopause occurs before the age of 40, regardless of the cause, it is called premature menopause.
An ovarian cyst is a fluid-filled sac which develops in an ovary. Most ovarian cysts are benign (non-cancerous) and cause no symptoms. Some cause problems such as pain and irregular bleeding. No treatment may be needed for certain types of ovarian cysts, which tend to go away on their own. For other types, an operation may be advised to remove the cyst.
Pelvic Floor Disorders
Pelvic floor disorders are problems that affect women’s pelvic organs — the uterus (or womb), vagina, bladder, rectum and the muscles that surround and support them. The three most common problems are Pelvic and vaginal infections, pelvic organ prolapse and trouble with bladder or bowel control.
Some complex gynecological conditions may require surgery. In those cases, our team of gynecologic surgeons will determine which surgical technique will best treat the disorder depending on your diagnosis, health risks, and family planning goals. Our goal is to offer every patient, when medically appropriate, a minimally invasive option for surgical care.
Types of gynecologic surgery
Our gynecologic surgery team offers a range of options for surgeries, such as traditional, laparoscopic, and vaginal. Surgeries we frequently perform include:
- Hysterectomy: This is surgical removal of the uterus. Hysterectomy treats a range of gynecologic conditions, such as uterine fibroids, advanced endometriosis, heavy uterine bleeding and certain gynecologic cancers.
- Myomectomy: This procedure removes uterine fibroids, leaving the uterus intact and preserving the ability to become pregnant.
- Sacrocolpexy: This procedure corrects pelvic floor prolapse, in which the uterus and/or other pelvic organs have moved out of their normal location in the body.
GYNECOLOGY SERVICE SCHEDULE
- Gynaecology clinic Monday to Friday 8:30am to 2:00pm.
- Infertility clinic Friday 8:30am to 2:00pm.
- Cervical Cancer screening Monday to Friday 8:30am to 4:00pm
Your personalized infertility treatment plan begins with an accurate diagnosis During your first visit to the infertility clinic, you will see an obstetrician-gynecologist with specialized training in reproductive hormonal disorders and infertility. We will discuss your health history, perform a medical exam, as needed, and order lab tests for both partners. Our goal is to develop a personalized testing and infertility treatment plan tailored to your needs.
Female infertility assessment
Your reproductive endocrinologist may order tests, including:Hormone tests: Hormones play an important role in fertility; they stimulate egg production and help support an early pregnancy.
- Follicle-stimulating hormone (FSH) and luteinizing hormone (LH) stimulate the ovaries to make both hormones and eggs
- Estrogen (specifically estradiol) is produced by the ovary leading up to ovulation. Estrogen and progesterone are produced by the ovary after ovulation to promote embryo implantation and early pregnancy.
- Prolactin – elevated levels can interfere with the menstrual cycle, making it harder to get pregnant.
- Thyroid Stimulating Hormone (TSH) – controls thyroid function.
- Ultrasound, X-ray, hysteroscopy and/or laparoscopy to look for blockages or abnormalities in the uterus, fallopian tubes and ovaries.
- Diabetes, thyroid, genetic, immune system and other tests based on health history and physical exam findings.
Male infertility assessment
According to the latest research, approximately one-third of infertility cases are due to reproductive problems with the male partner. A male fertility assessment involves a medical history and physical examination. Tests may include:
Semen analysis: The amount of sperm found in a semen sample, as well as the movement and shape of sperm can affect the ability of couples to conceive.
- Luteinizing Hormone (LH) and Follicle Stimulating Hormone (FSH) stimulate the testes to secrete testosterone and produce sperm.
- Testosterone produced by the testes stimulates sperm production.
- Prolactin – elevated levels reduces sperm production, reduces libido and may cause an inability to achieve or maintain an erection.
- Ultrasound of the testicles and supporting structures to look for obstructions to sperm being released, or other abnormalities of the male reproductive organs.
- Genetic, immune system, and other tests based on health history and physical exam findings.
Our Infertility specialist designs an individualized fertility treatment program for each woman based on the diagnosed cause of infertility, as well as culture and beliefs, desire for simple or aggressive therapy and financial capabilities.
Usually, less than three percent (3%) of infertility treatments actually require In Vitro fertilization or similar assisted reproductive technologies. Kisubi Hospital, our intention is to begin with the least invasive approach that offers the best chance for a successful outcome.
If your fertility is affected by a medical condition, such as diabetes, our medical team coordinates care with other specialists in Kisubi Hospital. We leverage the expertise of our renowned experts in endocrinology, bone and mineral, cardiology and other departments to help ensure a healthy pregnancy.
- Ovulation Induction – Medications that stimulate the ovaries to release eggs may be the first step in treating infertility.
- Surgery – Some patients may require surgery to repair Fallopian tubes, treat endometriosis, remove scar tissue or correct abnormalities.
- Some couples may require more aggressive infertility treatments. such as Intrauterine Insemination and In Vitro Fertilization.