Dr Smita Sinha

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Feeling informed can make a worrying time feel a little more manageable. 💚 Thank you for letting us know that our explan...
27/10/2026

Feeling informed can make a worrying time feel a little more manageable. 💚 Thank you for letting us know that our explanations helped you feel more confident and at ease, and for recognising the team who cared for you during your hospital stay.

Facing surgery can bring plenty of questions. Take your time, ask again if you need to, and share what’s on your mind. Understanding your care matters.

Why can organs become stuck together?Our pelvic organs sit close together, but their surfaces normally slide past one an...
26/10/2026

Why can organs become stuck together?

Our pelvic organs sit close together, but their surfaces normally slide past one another. In endometriosis, scar tissue can sometimes create connections between surfaces that would usually remain separate. These bands are called adhesions. 🔎

1️⃣ How do they form?
Endometriosis involves tissue similar to the womb lining growing outside the womb. This can cause inflammation. As the body repairs the affected area, scar tissue may form between nearby surfaces.

Adhesions can also develop after surgery or infection, so finding them does not automatically confirm endometriosis.

2️⃣ Do they always cause pain?
Not always. Some adhesions cause no symptoms. Others may contribute to discomfort by limiting how freely organs move.

More scar tissue does not necessarily mean more pain. Endometriosis pain can have several causes, and adhesions may be only one part of the picture.

3️⃣ Why does their location matter?
Around an o***y or fallopian tube, adhesions may change how these structures sit and move together. This can make it harder for the tube to collect an egg or affect the egg’s movement through it.

The effect varies from person to person. Having adhesions does not automatically mean someone cannot become pregnant.

4️⃣ Can adhesions be removed?
Surgery can separate them in selected situations. However, pain relief is not guaranteed, and new adhesions can form after surgery. Decisions depend on symptoms, the organs involved, fertility plans and the possible benefits and risks.

The illustration shows one example. Adhesions can look different and affect people differently, depending on where they form and which structures they connect.

Sources: ASRM, 2019; ESGE/ESHRE/WES, 2020

🔎 Bolehkah endometriosis menjejaskan kesuburan walaupun haid tidak sakit? Ya. Ada yang mengalami sedikit gejala, atau la...
24/10/2026

🔎 Bolehkah endometriosis menjejaskan kesuburan walaupun haid tidak sakit? Ya. Ada yang mengalami sedikit gejala, atau langsung tiada gejala.

Mengapa tahap sakit sahaja tidak mencukupi?
Endometriosis boleh melibatkan ovari, tiub fallopio, usus atau pundi kencing. Tahap sakit tidak semestinya menggambarkan keluasan penyakit. Bagi sesetengah wanita, kesukaran hamil menjadi sebab pertama untuk menjalani pemeriksaan.

Apakah yang dinilai?
Endometriosis ialah salah satu kemungkinan dalam masalah kesuburan yang belum diketahui puncanya. Namun, sukar hamil sahaja tidak mengesahkan diagnosis. Sejarah kesihatan, pemeriksaan dan ujian yang sesuai membantu menentukan langkah seterusnya. Laparoskopi mungkin berguna dalam kes tertentu, tetapi bukan ujian rutin untuk semua orang yang sukar hamil.

📅 Bila perlu mendapatkan penilaian?
- Bawah 35 tahun: selepas 12 bulan hubungan seks berkala tanpa pencegah kehamilan
- Umur 35 tahun ke atas: selepas 6 bulan
- Lebih awal jika berumur lebih 40 tahun, haid tidak teratur, atau endometriosis telah dikenal pasti atau disyaki

Anda tidak perlu menunggu sakit teruk untuk membincangkan masalah kesuburan. Pemeriksaan membantu memahami punca dan pilihan rawatan, tanpa terus menganggap pembedahan diperlukan.

Untuk pertanyaan janji temu, WhatsApp klinik Dr Smita di +60 16-583 3302. Ikuti untuk penerangan tentang endometriosis dan kesuburan.

Sumber: WHO; ASRM; NHS.

🔎 Can endometriosis affect fertility even without painful periods? Yes. Some people have few symptoms, or none at all.Wh...
23/10/2026

🔎 Can endometriosis affect fertility even without painful periods? Yes. Some people have few symptoms, or none at all.

Why pain alone cannot tell us enough
Endometriosis can involve the ovaries, fallopian tubes, bowel or bladder. The amount of pain does not reliably show how much disease is present. For some people, difficulty getting pregnant is the first reason to investigate.

What assessment involves
Endometriosis is one possible contributor to unexplained infertility, but difficulty conceiving does not confirm it. Your history, an examination and appropriate tests help guide the next step. Laparoscopy may be useful in selected situations; it is not a routine test for everyone with fertility concerns.

📅 When should you seek help?
- Under 35: after 12 months of regular s*x without contraception
- Age 35 or older: after 6 months
- Earlier if you are over 40, have irregular cycles, or have known or suspected endometriosis

You do not need to wait for severe pain before discussing fertility concerns. An assessment helps you understand the possible causes and options, without assuming that surgery is needed.

For appointment enquiries, WhatsApp Dr Smita’s clinic at +60 16-583 3302. Follow for practical education on endometriosis and fertility.

Sources: WHO; ASRM; NHS.

22/10/2026

Not all endometriosis causes pain, which makes it dangerous.
You could have silent pelvic disease affecting your fertility without knowing it.
Don’t wait—consult your gynecologist if you’re struggling to conceive!

Thank you for trusting us with your wife’s care and for your lovely words. 💚 From the first scan to care after her opera...
20/10/2026

Thank you for trusting us with your wife’s care and for your lovely words. 💚 From the first scan to care after her operation, we’re grateful that you felt supported by the doctors and nurses along the way.

And to everyone supporting a loved one through surgery: your questions and worries matter too. Sometimes, a clear explanation or a little reassurance can make the next step feel less overwhelming.

The size of an endometriosis patch cannot tell us how much pain someone is experiencing. 💚Pain involves more than the am...
19/10/2026

The size of an endometriosis patch cannot tell us how much pain someone is experiencing. 💚

Pain involves more than the amount of tissue visible during a scan or operation.

Around a lesion, inflammation can make nearby nerve endings more sensitive. Signals that would normally be less noticeable may then feel painful.

With ongoing pain, the spinal cord and brain can also become more responsive to pain signals. This is often called sensitisation. It is a physical change in pain processing, rather than a sign that the pain is imagined.

Pelvic-floor muscles may tighten in response to pain and become another source of discomfort. These mechanisms can overlap, and their contribution differs between people.

That is why a small lesion can be associated with substantial pain, and removing a visible patch may not address every contributor.

A useful assessment considers the whole experience: when pain occurs, what triggers it and how it affects sleep, movement and everyday activities.

Sources: Cambridge University Hospitals; North Tees and Hartlepool NHS

Considering endometriosis surgery? Understanding the plan can help you feel more prepared. 🌿Laparoscopy often means smal...
17/10/2026

Considering endometriosis surgery? Understanding the plan can help you feel more prepared. 🌿

Laparoscopy often means smaller incisions and a faster recovery than open surgery, but the operation can still be complex. Excision removes endometriosis tissue; ablation treats lesions at the surface. Your surgical approach should reflect where the disease is and what you need from treatment.

An experienced surgeon, ultrasound or MRI planning, and the right team are important. If the bowel or urinary tract is involved, other specialists may need to be part of your care. Complex cases benefit from a centre with endometriosis expertise and a multidisciplinary team.

Surgery may reduce pain and improve quality of life for some patients. In selected cases, it may also help the chance of pregnancy. These benefits are not guaranteed. Recovery varies with the operation and its extent; follow your surgical team’s individual guidance. Thorough removal may reduce symptom recurrence, but symptoms can return.

Before deciding, discuss the intended benefits, risks and recovery with your gynaecologist. For appointment enquiries, WhatsApp Dr Smita’s clinic at +60 16-583 3302.

Follow Dr Smita for clear, patient-friendly endometriosis education.

Sedang mempertimbangkan pembedahan endometriosis? Memahami pelan rawatan boleh membantu anda berasa lebih bersedia. 🌿Lap...
16/10/2026

Sedang mempertimbangkan pembedahan endometriosis? Memahami pelan rawatan boleh membantu anda berasa lebih bersedia. 🌿

Laparoskopi sering melibatkan luka yang lebih kecil dan pemulihan yang lebih cepat berbanding pembedahan terbuka. Namun, pembedahan ini masih boleh menjadi kompleks. Eksisi membuang tisu endometriosis, manakala ablasi merawat lesi pada permukaan. Kaedah yang dipilih perlu mengikut lokasi penyakit dan matlamat rawatan anda.

Pengalaman pakar bedah, perancangan dengan ultrasound atau MRI, serta pasukan yang sesuai amat penting. Jika usus atau saluran kencing terlibat, pakar lain mungkin perlu membantu. Kes kompleks mendapat manfaat daripada pusat dengan kepakaran endometriosis dan pasukan multidisiplin.

Pembedahan boleh mengurangkan sakit dan meningkatkan kualiti hidup bagi sesetengah pesakit. Dalam kes tertentu, ia juga boleh membantu peluang untuk hamil. Manfaat ini tidak dijamin. Pemulihan berbeza mengikut jenis dan keluasan pembedahan; ikuti panduan khusus pasukan pembedahan anda. Pembuangan menyeluruh boleh mengurangkan risiko simptom berulang, tetapi simptom masih boleh kembali.

Sebelum membuat keputusan, bincangkan manfaat, risiko dan pemulihan dengan pakar sakit puan anda. Untuk pertanyaan janji temu, WhatsApp klinik Dr Smita di +60 16-583 3302.

Ikuti Dr Smita untuk pendidikan endometriosis yang jelas dan mesra pesakit.

15/10/2026

𝗦𝗲𝗱𝗮𝗻𝗴 𝗳𝗶𝗸𝗶𝗿𝗸𝗮𝗻 𝗽𝗲𝗺𝗯𝗲𝗱𝗮𝗵𝗮𝗻 𝗲𝗻𝗱𝗼𝗺𝗲𝘁𝗿𝗶𝗼𝘀𝗶𝘀? 🤔
Ketahui pilihan terbaik dan apa yang perlu anda lakukan.
Mari maklumat ini bantu anda dalam perjalanan ini!

Address

KPJ Selangor Specialist Hospital, Level 4, Suite 11, Lot 1, Jalan Singa 20/1, Section 20
Shah Alam
40300

Opening Hours

Monday 08:30 - 17:00
Tuesday 08:30 - 17:00
Wednesday 08:30 - 17:00
Thursday 08:30 - 17:00
Friday 08:30 - 17:00
Saturday 08:30 - 12:30

Telephone

+60355433285

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