The Telegraph
Monday , February 3 , 2014
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Expert tips on better treatment for women

- Gynaecologists discuss genetic disorder

Leading gynaecologists on Sunday deliberated on various issues of advanced treatment available in the country.

“Some girls develop male features — a disease known as congenital adrenal hyperplasia — because of the increase in the level of androgens (male sex hormones). These days, surgery is available to amend this condition. Doctors these days do cosmetic restoration (surgery) for improving the appearance of unusual genitalia in girls which happens due to suffering from congenital adrenal hyperplasia. This surgery is not being done in Patna but in metros, including Mumbai, it has been a success in the last few years. One has to shell out something around Rs 50,000 to undergo the surgery,” said Milind R. Shah, a gynaecologist from Solanki (Maharashtra) on Sunday at the 57th All India Congress of Obstetrics and Gynaecology, which started at Bihar Veterinary College on Saturday.

“Earlier, there was no treatment available for congenital adrenal hyperplasia but now surgery is available for the disease. It cannot be detected in girls at the time of their birth but when they reach adolescent stage, it can be detected as they do not develop breasts or menstruate in adolescence rather they develop male features. Males suffering from congenital adrenal hyperplasia generally have ambiguous genitalia or female genitalia,” added Shah

Shah also talked about the specialised tests available today which help diagnose whether ovary need to be removed or not in case the patient has chances of developing ovarian cancer.

“There are genetic tests like BARC-1 and BARC-2, which can help diagnose whether removing ovary is really necessary for the patient or not,” said Shah.

Sulekha Pandey, a gynaecologist with Banaras Hindu University, talked about treatments through which the genetic problem of a baby could be detected inside the womb. “If a woman is three months’ pregnant, then doctors can take her blood sample through which they can diagnose that whether the baby would develop genetic disorders or not. However, this treatment is available only at few places,” said Pandey.

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