Chaudhury Medic Centre, which is located in Kuala Lumpur, Malaysia, is a one-stop Obstetric & Gynaecology Clinic established in 1996 offering a wide range of services and personalized care. Headed by Dr. Tapos Chaudhury, a board-certified Obstetrician and Gynaecologist, this three-storey, 20-bed private hospital specializes in Pregnancy Management, Ectopic Pregnancy, Assisted Deliveries, Caesarean Sections, and Full Gynae Check-Up.
Chaudhury Medic Centre’s mission is to provide the highest quality Obstetric & Gynaecology services in comfortable settings. Driven to establish a trusting relationship with each patient, the clinic’s team of medical professionals treats each case with utmost understanding and care. With the clinic’s state-of-the-art medical equipment, Dr. Chaudhury’s decades of experience and in-depth knowledge of the most effective treatment and procedures, the clinic can guarantee patients’ satisfaction as well as safety, comfort, and privacy.
Dr. Taposi Chaudhury is a board-certified Obstetrician & Gynaecologist with more than 25 years of solid experience. Professional and highly ethical, her ultimate goal is to provide high quality and personalized Obstetric & Gynaecology services to both local patients and medical travelers.
Obstetrics & Gynaecology
An Antenatal Amniocentesis is a diagnostic test that examines the fetal cells found in a sample of an expectant mother’s amniotic fluid. The fetal cells are usually those found in the skin, lungs, and urinary tract of the fetus. Once taken, the cells are first grown until they are able to provide chromosomal, biochemical, molecular, and genetic information. The cells are taken from the placenta using a 22 gauge spinal needle. Due to the nature of the test, it is considered as a risky and invasive procedure that is only used when a high risk of chromosomal abnormality is suspected in the fetus. Early amniocentesis is performed between the 12th and 14th weeks of gestation while midtrimester amniocentesis is performed between the 15th and 18th weeks. The latter is widely preferred because of the higher amount of amniotic fluid present during this gestational age.
An Antenatal CTG or Cardiotocography is a screening test used to check if a fetus is at risk of hypoxia. Performed during the third trimester of pregnancy, the test checks the baby’s heart rate, which should be between 110 and 160 beats per minute when he or she is at rest. This may increase when the fetus is moving. The fetal heart rate is an indicator of whether the baby is getting enough oxygen from the placenta. An antenatal CTG usually becomes necessary if the doctor or the expectant mother notices a reduction or irregularity in the movements of the baby or if a problem with the placenta or amniotic fluid levels is suspected. It is also commonly requested among mothers who are having twins or are suffering from hypertension or diabetes. The test is a non-stress procedure that takes 20 to 60 minutes.
BTL (Shockwave Therapy)
A BTL Shockwave Therapy is a newly developed therapeutic solution for chronic pain felt in certain parts of the body including the shoulder, back, elbow, knee, or heel. Widely used in orthopaedics and sports therapy, the procedure is most effective for muscular and tendon problems. The procedure works by sending high-intensity sound waves to the problematic tissues of the body. This causes neovascularization ingrowth, dissolves calcium buildup, stimulates collagen production, and reduces inflammation. All the benefits combined create a healing environment for the entire injured area, thus easing pain and gradually bringing about full restoration of limb function.
Breast Lump Excision Biopsy (Benign)
Biopsi pemotongan benjolan payudara merupakan tindakan yang mengangkat bagian atau keseluruhan benjolan yang tidak normal pada payudara wanita. Biasanya, beberapa jaringan normal yang juga mengelilingi benjolan juga diangkat. Tindakan ini dilakukan di bawah pengaruh bius lokal, serta dengan panduan mamogram atau ultrasound untuk membantu dokter bedah menemukan benjolan yang tidak normal, yang setelah diangkat dari tubuh kemudian dipindai dan dibandingkan dengan benjolan mencurigakan yang muncul pada mamogram. Meskipun tujuan utama dari tindakan biopsi pemotongan benjolan payudara adalah untuk mendiagnosa adanya kanker, tindakan ini terkadang menghilangkan seluruh sel kanker, yang dengan demikian mengobati kanker.
CXR (Chest X-Ray)
A CXR or Chest X-ray is a painless scanning procedure that examines the inside of a patient’s chest. This allows the doctor to evaluate the health of the heart, lungs, and blood vessels in the area. It is usually requested to diagnose chest-related symptoms such as shortness of breath, chronic cough, and chest pain, especially if these symptoms are accompanied by fever. Chest x-rays are safe routine scans that use very low levels of radiation and thus have little to no risk to the patient. You may, however, request for a lead apron to protect yourself completely from exposure to radiation.
Chorion Villous Biopsy
A Chorion Villous Biopsy is an antenatal sampling test most commonly used for the screening of Down’s syndrome, sickle cell anaemia, cystic fibrosis, and other genetic conditions. This is not considered as a routine sampling, and is only requested by an obstetrician-gynaecologist when an increased risk of any inherited condition is observed based on other antenatal tests, the parents’ own health tests, and the family’s medical history. A chorion villous sampling or CVS is performed between the 11th and 13th weeks of pregnancy. The procedure is done by inserting a very fine needle through the stomach or by inserting a fine suctioning tube into the cervix, with the purpose of taking a sample of the placenta. The doctor is guided by an ultrasound image the entire time. The specific method used will depend on placental positioning.
Chaudhury Medic Centre offers a comprehensive antenatal consultation for pregnant women. The goal of this service is to minimize the risk of complications and ensure a healthy birth. The first consultation should be booked not later than ten weeks of pregnancy when first-trimester screening tests should be performed. The first consultation is typically the longest as medical professionals at Chaudhury Medic Centre would want to get a clear picture of your overall health and medical history, as well as your partner’s. Common information required is the date of your last period, previous pregnancies (if there are any), and history of diseases and genetic conditions in your family.
A Diagnostic Laparoscopy is a minimally invasive procedure that enables a doctor to take a look inside the patient’s abdomen or pelvis without making a big skin incision. The incision used is very small and is just enough to accommodate a tube with a video camera attached. Due to this, the test causes minimal pain. Nevertheless, it is still performed under general anesthesia since the tube is still guided once inside the body. A diagnostic laparoscopy can be used to check for abdominal mass, ascites, liver disease, and cancer; it can also inspect various parts of the pelvic region, including the fallopian tube, a procedure that is considered as a gynecologic laparoscopy.
ECG / EKG
An Electrocardiograph or ECG is a device that records and creates a map of the heart’s electrical activity. This is widely used to diagnose cardiac problems by assessing the rhythm of the heart and detecting any abnormalities. It can determine whether a person is at risk of heart attacks or if the heart muscles receive inadequate blood supply. The test is performed using ten electrodes attached to the chest, arms, and legs; these will send signals to a computer, which interprets them and creates a visual image on a graph paper, mapping the electrical impulses that move through the heart. The actual recording takes just a few seconds, but the test may take up to 20 minutes due to the preparation of the electrodes.
Fibroids, Cysts Laparoscopy/Laparotomy
Diagnostic gynecological services used in the treatment for fibroids and cysts now offer women two options; a laparotomy or laparoscopy. A laparotomy is a surgical procedure wherein a large incision is made through the abdominal or pelvic wall so the surgeon can access and examine the abdominal cavity or pelvic region to aid in the diagnosis of specific symptoms that may signal the presence of a cyst or fibroid. A laparoscopy, on the other hand, is a minimally invasive alternative that requires only a small incision but allows the surgeon access with the use of a laparoscope, a small thin tube with a tiny camera attached to it. Gynecologic laparoscopy is highly useful not only for diagnostic purposes but also for the removal of ovarian cysts, hysterectomy, and tubal ligation. Since it is not an open surgery like laparotomy, it offers faster healing time and leaves significantly smaller scars.
Gynecology Follow Up
Monthly check-ups for pregnant women are highly recommended to ensure healthy pregnancy. Following the initial consultation, your subsequent visits will involve an interview with your obstetrician. It will also involve conducting standard tests including blood and screening tests, urine and blood pressure check, and ultrasound scan. Your tummy will also be measured each visit to keep an eye on your baby’s growth. You will also receive professional advice on how to keep your weight under control to reduce the risk of developing gestational diabetes.
HPV DNA Testing
An HPV DNA testing enables doctors to analyze the DNA of a woman’s cells to check for abnormalities that put her at risk for HPV or cancer. The test has a 95 percent accuracy rating with regards to the detection of high-risk strains of HPV. It is performed by taking a sample of cells from the patient’s cervix, a procedure that is similar to the pap test. The procedure is very quick and causes only minimal discomfort. As with the pap test, light bleeding is normally experienced after the procedure. This test is most commonly combined with a pap test as part of a cervical cancer screening, but it is sometimes only requested when the patient has a slightly abnormal pap smear result.
Miscarriage is currently the most common reason for the loss of pregnancy, with an occurrence rate of 25% out of all clinically registered pregnancies. The greatest risk is during the first 13 weeks of gestation. If a woman experiences a miscarriage, it is highly important for her to receive proper treatment. The main goal of post-miscarriage care is to reduce blood loss or prevent hemorrhage; the secondary goal is to protect the patient from infection. If the miscarriage occurs during the early stages of the pregnancy, the body is capable of expelling all fetal tissue without assistance. However, if the miscarriage occurs at a later stage or if some fetal tissue is not expelled, a D&C (dilation and curettage) may be necessary. This procedure first dilates the cervix so a scraping tool can be inserted. All fetal tissue is then removed from the uterine wall with a curette or a suction tool. The procedure is performed under general anesthesia and requires the patient to receive antibiotics either intravenously or orally. Patients may experience painful cramps for the first 24 hours after the procedure, but these may subside to lighter cramps that last up to 2 weeks. Patients are not allowed to engage in strenuous activities for a few days until they feel fully recovered.
A Pap Smear is a test used for cervical cancer screening. During the procedure, a small sample of cells is scraped from the opening of the cervix for further testing. Due to the location of the cervix at the top of the vagina, taking a sample can cause some discomfort, a feeling that is often likened to menstrual cramps. Light bleeding may also be experienced after the test. Liquid-based pap tests are now also widely used; the main difference is the handling of the cells, which are rinsed in a small container with liquid in it then placed on the slides using a special machine. The purpose behind the liquid-based pap smear is to improve and ensure the accuracy of the test results.
Pelvic Floor Repair
If your pelvic floor weakens or has suffered a tear due to pregnancy or an injury, you may require a procedure called a pelvic floor repair. The pelvic floor refers to the system of muscles, ligaments, and connective tissue that support the woman’s internal organs, including the bladder, uterus, bowel, rectum, and the vagina. If the repair cannot be carried out through conservative treatment options, surgery may be considered. There are two types of surgical pelvic floor repair, namely anterior and posterior repair, both of which are performed under general anesthesia and lasts about 30 minutes. An anterior repair focuses on weak muscles to the front of the vagina, while a posterior repair focuses on the muscles at the back wall of the vagina. This is an in-patient surgery that requires 2-3 day hospital stay after the procedure, while complete recovery takes about 6 weeks, during which time the patient should avoid strenuous activities, sexual activity, standing for long periods, or lifting heavy objects. Patients are also advised to continuously do pelvic floor exercises to prevent recurrences.
Chaudhury Medic Centre, which specializes in General Obstetrics and Gynaecology, offers a wide range of pre, ante, and postnatal services. The clinic’s highly experienced specialists provide full assistance whether you’re trying to get pregnant, currently pregnant, or about to give birth. The clinic is equipped with the latest diagnostic and laboratory equipment while its medical staff is highly knowledgeable on the latest techniques and procedures. These, together with the clinic’s genuine concern for patients, particularly would-be mothers, provide an assurance that you’ll receive world-class medical care and services.
Treatment for Bartholin’s Cyst
A Bartholin’s cyst is a painless fluid-filled sac that grows near the opening of a woman’s vagina when the Bartholin’s glands become blocked. The Bartholin’s glands are two small glands, about 1cm across, that release a lubricating fluid during sex. It is not certain what blocks the glands, but bacterial infections may play a role. Most Bartholin’s cysts remain small and do not cause symptoms, but there is a risk that a cyst may become infected, which may cause an abscess and may trigger pain. Without any symptoms, most of these cysts do not need treatment. However, if the cyst is painful, it is best to seek medical attention. The first course of treatment is usually self-care remedies, such as soaking in warm water several times a day, but doctors sometimes advise performing a biopsy to identify the bacteria that caused the cyst to form. In cases where symptoms are severe or do not improve with self-care, a minor surgical procedure in which the cysts are drained may be necessary. There is, however, a possibility for the cysts to recur.
A Tubal Ligation is a surgery in which a woman’s fallopian tubes are tied, although sometimes they are cut, clamped, or blocked. Regardless of the specific manner used, the goal of ligation is to prevent pregnancy permanently. After a tubal ligation, sperm can no longer travel up the fallopian tubes and a woman’s egg can no longer go to the uterus for fertilization. If a woman is having a C-section, most doctors recommend doing the tubal ligation at the same time, so that the woman will only undergo a surgical operation and subsequent recovery period once. In the case of non-pregnant women or women who delivered vaginally, tubal ligation can be done through a laparoscopic procedure wherein a number of small incisions are made under the navel and the doctor seals the fallopian tubes using special instruments that can pass through these incisions. This eliminates the need for open abdominal surgery. After a tubal ligation, patients should avoid strenuous activities and sexual intercourse for 2 weeks, and may gradually return to their normal activities as their condition improves.
A Vaginal Hysterectomy is the surgical removal of the uterus, and in some cases, together with the cervix, by passing it through the vagina. The procedure begins with the detachment of the uterus from the patient’s ovaries and fallopian tubes. All blood vessels and connective tissues that support the uterus are also severed. After this, the uterus is pulled through the vagina. The purpose of this alternative type of hysterectomy is to eliminate the need for an incision, which is required in an abdominal hysterectomy. A vaginal hysterectomy is widely preferred because it is less invasive, but in some cases, such as when the uterus is enlarged, it may not be possible.