1. Dr. Shamanthakamani Narendran M.D. (Pead), Ph.D. (Yoga Science) The Gynecological Visit and Exam

2. The medical specialty concerned with diseases of the female genital tract, as well as endocrinology and reproductive physiology of the female is a gynecologist gyn-, gyne-, gyneco-, gyno- means FEMALE

10. The Breast Exam Patient will change into an examination gown or be covered with a drape sheet. Some clinicians provide both. Clinician will examine the breasts for lumps, thickening, irregularities, and discharge. Many talk about the health history during the breast exam.

11. Breast lumps are often discovered by a woman or her sex partner. Changes noticed in the breasts since last exam, if any. Should become familiar with the way breasts normally look and feel. That way patient will be more likely to notice any changes.

12. Some women use breast self-exams (BSEs) to get to know their breasts. The best time for a BSE is one week after the period, when breasts are not swollen or tender. Lumps are also noticed during day-to-day activities such as showering or sex play. Most lumps are not cancerous. But report anything unusual to the clinician as soon as possible.

13. Self-Breast Exam

14. Four-Step Breast Self-Exam Stand up and place one hand behind head. Hold the fingers of the other hand flat. Gently touch every part of the breast below the raised arm. Feel for lumps, bumps, or thickening. Now do the other breast. Stand in front of a mirror. Place hands on hips. Inspect each breast for changes in size, shape, and form. Do it again with arms raised above the head In front of the mirror

15. Lie back with a pillow or folded towel under right shoulder. Place right hand behind the head. Examine every part of the breast with the fingers of the left hand held flat. Gently press in small circles. Start at the top outermost edge and spiral in to the nipple. Feel for lumps, bumps, or thickening. Now do the other breast. Be sure to follow a consistent pattern. On the bed

16. Use one of the following patterns: Do not miss any part of the breast.

17. Rest the arm on a firm surface like the top of a bookshelf. Examine the underarm. Feel for lumps, bumps, or thickening in the same way. Now do the other underarm.

18. MAMMOGRAPHY

25. PAPANICOLAOU SMEAR TEST A Pap smear is a test – doctor does to check for signs of cancer of the cervix. The cervix is part of the uterus (womb). During a Pap smear, doctor takes a sample of cells from the cervix to be tested.

64. Fibroid location

69. Pelvic Exam

71. Hysterosonography

72. Hysterosalpingography

73. Hysteroscopy

87. FEMALE STERILIZATION TECHNIQUE Pomeroy method Laparoscopic cauterization Laparoscopic banding, clamping or clipping Spring Clips Filschie clip

88. Thank You