Dhaka: Afroza Akhtar was four months pregnant when she began experiencing occasional abdominal pain and bleeding. After conception, her doctor advised her to have an ultrasound, but Afroza delayed, thinking she would do it later at an advanced stage of pregnancy.
According to Bangladesh Sangbad Sangstha, Afroza said, "When I went to the doctor because of abdominal pain, he did an ultrasound, which showed that my uterus was slightly torn with a hole. That is why I was experiencing occasional bleeding and pain. Doctors recommend an ultrasound within the first three months to determine the position of the fetus in the uterus and to detect any problems. This helps to understand everything."
Former professor and gynecologist at Dhaka Medical College and Hospital, Dr. Farhana Dewan, emphasized that many people mistakenly believe the uterus only functions during childbirth, stressing the need for special care during various life stages such as menstruation, intercourse, pregnancy, and menopause.
She explained the importance of using sanitary napkins during menstruation and maintaining cleanliness to avoid infections, noting that the cervix remains open during this time, which requires additional precautions.
Dr. Dewan also highlighted the need for safe sexual practices, advising against forceful intercourse and recommending thorough cleaning before and after to prevent complications. She stressed the necessity of prenatal checkups to confirm the fetus's position and ensure both the fetus's and uterus's health.
Dr. Dewan mentioned that changes in the uterus before and after menopause are common, with symptoms like heavy bleeding, vaginal dryness, or an enlarged uterus requiring medical consultation.
Eminent gynecologist Dr. Maliha Rashid outlined several signs of uterine problems, including excessive menstrual bleeding, abdominal pain, missed periods, and other symptoms that necessitate consulting a gynecologist. She advised immediate medical attention for symptoms like frequent urination, indigestion, or post-menopausal complications.
Dr. Rashid noted that uterine diseases often result from factors such as early marriage, frequent pregnancies, multiple sexual partners, and lack of hygiene. Meanwhile, gynecologist Dr. Ashrafun Nesa highlighted the government's efforts by providing free uterine and breast cancer screenings at district and central hospitals, urging women to seek medical help if issues arise.