Sexual medicine is a medical specialty that deals with sexual health. At times heavily influenced by current local views on morality, with heavy cultural overlay, in broad terms this specialty is concerned with diagnosing, assessing and treating all aspects which relate to sexuality.

Issues can be divided into two main areas of concern:

• disorders of the sexual organs
• disorders of the psyche affecting sexuality

Sexual medicine has four dimensions:

• The promotional dimension (increases awareness and helps individuals have a healthy and fulfilling sex life)
• The preventive dimension (counseling)
• The curative dimension (clinical treatment of specific sexual disorders)
• The rehabilitative dimension (helps patients regain sexual health)

At Qari Hospital experienced and qualified sexologist is taking care of the patients of sexual ailments for male and female.

Welcome to the Qari Hospital fertility center. If you are one of the 15% of couples who are experiencing infertility —– that is, you are unable to conceive a child after one year of unshielded intercourse —- then you have found one of the nation’s leaders in fertility treatment and education. Our doctors have been using intrauterine insemination technique (I.U.I) first line interventional treatment for address the infertility since 1988 to help couples achieves their dream of having a biological child.

Infertility may have complicates, sometimes multiple physical causes, but it can also extract an emotional toll. Our goal is to develop a treatment plan that is mindful of the emotional and life style needs of our patients. One of the unique highlights of the fertility Center is our proven experience in providing treatment options for complicated cases.

Our staff includes some of the most experienced infertility specialists in the country, reproductive endocrinologists, clinical nurses and technicians. Our facilities are world class and feature the most advanced technological equipment available.

We provide following services

• Ovulation induction
• Cycle tracking
• Surgical sperm recovery
• Intra-uterine insemination (IUI) using partner’s sperm
• Counseling
• Andrology services

                          Intrauterine insemination (IUI)

Intrauterine insemination (IUI) is an infertility treatment that involves placing sperm inside a woman’s uterus to facilitate fertilization. The goal if IUI is to increase the number of sperm that reach the fallopian tubes and subsequently increase the chance of fertilization.

IUI provides the sperm an advantage by giving it a head start, but still requires a sperm to reach and fertilize the egg on its own. It is a less invasive option compared to in vitro fertilization.

When is IUI used?                             

The most common reasons for IUI are a low sperm count or decreased sperm mobility.

However, IUI may be selected as a fertility treatment for any of the following conditions as well:

• Unexplained infertility
• A hostile cervical condition, including cervical mucus problems sperm’s ability to enter the uterus
• Ejaculation dysfunction

Frequently Asked Questions

What is IUI?

IUI is a scientific treatment for infertility. In this treatment husband’s semen is processed in the dedicated IUI laboratory to isolate the fast moving sperms, which are then transferred through a purpose built catheter by the lady doctor. These sperms then interact with the eggs already present in the fallopian tube for conception.

who should opt for IUI?

Every married couple facing difficulty in conception can choose IUI for their treatment. For a successful outcome woman’s fallopian tubes must be open and husband’s sperms must be motile.

Is IUI painful?

IUI is a simple treatment and does not involve any kind of pain, operation or hospital admission. The procedure is completed in two hours and the woman can continue her daily life as per routine.

 How many times IUI can be used as treatment?

There is no limit on the number of times IUI is used as treatment. It can be repeated as many times as one can afford, till pregnancy is achieved.

What is the success rate of IUI?

The success rate of IUI is higher in younger women who have good quality fallopian tubes-ova and when men have got sperms with higher count and good motility. Generally quoted success rate for IUI is 10-15%.

Is IUI Islamic?

IUI is permissible according to Islamic and Pakistani laws and it has repeatedly been approved by Islamic scholars.

Qari Hospital has the edge, where it addresses the male factor along with female. Neglected-Overlooked male issues in this field are resolved.

Reproductive medicine is a branch of medicine that deals with prevention, diagnosis and management of reproductive problems; goals include improving or maintaining reproductive health and allowing people to have children at a time of their choosing. It is founded on knowledge of reproductive anatomy, physiology, and endocrinology, and incorporates relevant aspects of molecular biology, biochemistry and pathology.

Experienced and qualified specialists are taking care of the male and female patients in this field at Qari Hospital.

Andrology is the medical field that deals with male health, particularly relating to the problems of the male reproductive system and sexual problems and a part of urology problems that are unique to men. It is also known as “the science of men.

Andrology or men health is a very new specialty compared with the other medical specialties.

Genitourinary disorders belong to andrology are

• Cryptorchidism, orchitis, ectopia testis, testicular cancer, testicular torsion
• Epispadias, hypospadias
• Epididymitis, Urethritis, Low urinary tract infection
• Hydrocele, spermatocele
• Impotence (erectile dysfunction), Premature ejaculation, Retarded ejaculation, low libido…
• Infertility, varicocele
• Micropenis, penile cancer, penile fracture, Peyronie’s disease, Priapism
• Prostatitis, prostate cancer, BHP
• Balanitis, frenulum breve, paraphimosis, phimosis
• Male Sterility (vasrectomy)
• Sexuall transmitted diseases (STD) or Sexually transmitted infections (STI)

To deal with andrological problems, we need some time help of other segments of medical science. This include General Surgery, Urology, Psychology, General Medicine etc.

At Qari Hospital the department is operational and an experienced andrologist providing services to the patients.

A visit to the gynecologist is advised for annual screening and any time a woman has concerns about symptoms such as pelvic, vulvar, and vaginal pain or abnormal bleeding from the uterus and fertility related problems.

Gynecologist at Qari Hospital frequently offer both gynecological and general health care, including preventive medicine for women and diagnosis and treatment of issues such as low back pain, headache, acne and mood changes.

Gynecology and Obstetrics     

Gynecology and obstetrics are twin subjects that deal with the female reproductive system. While obstetrics deals with pregnancy and its associated procedures and complications, gynaecology involves treating women who are not pregnant.The field of obstetrics thus deals with the wellbeing of the pregnant mother as well as the delivery and healthy outcome.

Obstetricians closely work with the paediatricians and neonatologists to deal with care of the newborn baby to reduce the chances of mortality and disease of the newborn.

At Qari Hospital experienced and qualified gynaecologist and Obstetrician is serving the area for the last 3 decades with excellent out come in cases.

General Medicine is the branch of medicine that deals with the diagnosis and nonsurgical treatment of disease of the internal organ. Here you will find the symptoms, causes, diagnosis, and treatment of a huge range of disorders affecting every part of the body.

We at Qari Hospital has qualified, experienced General physicians and family physicians; for the patients who need to be attended to the outdoor or need admission for their management. The department works in working hours daily on working days, other than the working hours you need a prior appointment.

General Medicine is the branch of medicine that deals with the diagnosis and nonsurgical treatment of disease of the internal organ. Here you will find the symptoms, causes, diagnosis, and treatment of a huge range of disorders affecting every part of the body.

We at Qari Hospital has qualified, experienced General physicians and family physicians; for the patients who need to be attended to the outdoor or need admission for their management. The department works in working hours daily on working days, other than the working hours you need a prior appointment.

The branch of medicine that is focused on the relief of pain in the perioperative period (i.e. before, during or after a surgical procedure) is known as anesthesiology. The medicaments administered are termed anesthetics and the doctor who is trained in this specialty is referred to as an anesthetists.
In addition to pharmacology, anesthetists must be versed in mechanical ventilation, various monitors of physiological functioning, neuroanatomy and other general areas of medicine.

Nephrology The Nephrology Department at Qari Hospital is run by highly trained specialist who possesses the expertise and advanced skills to treat all diseases related to the kidney. Our expert nephrologist and state- of –the-art diagnostic and medical equipment, enables us to provide treatment for simple and complex Nephrological Conditions.

The department of Neurosurgery at Qari Hospital is the discipline that focuses on the diagnosis and treatment of disorders of the brain, spinal cord, peripheral nerves and their supporting vasculature.

A Neurosurgeon is a physician who specializes in the diagnosis and surgical treatment of disorders of the central and peripheral nervous system including congenital anomalies, trauma, tumors, vascular disorders, infections of the brain or spin, stroke or degenerative diseases of the spine.

Below is an alphabetical list of surgeries performed by neurosurgeons;

• Brain Aneurysm Clipping and Coiling.
• Carotid Artery Endarterectomy.
• Craniotomy and Excision of Brain as well as Spinal-Cord Tumors.
• Prolapased Intervertebral Disk Removal.
• Laminectomy and Decompression of Spinal Stenosis.
• Endovascular Surgery
• Spinal Tap (lumbar Puncture).
• Spinal Fixations.
• VP Shunting for Hydrocephalus.

Apart from other conventional Neurosurgical procedure mentioned above…. Our centre is expertise in doing Mimimal Invasive Neurosurgical procedures like….

• Endoscopic Tran-Sphenoidal Approach of Seller-Supra Seller Lesions.
• Endoscopic Key-Hole Eyebrow Incision to Anterior Skull Base Lesions.
• Endoscopic Endo-Nasal CSF Leak Repair (Fluorescein Guided.
• Endoscopic Third Ventriculostomy.
• Endoscopic Intra-Ventricular Excision of Colloid Cyst.
• Endoscopic Fenestration of Arachnoid Cyst in Brain.
• Endoscopic/ Microscopic Prolapsed Intervertebral Lumber Discectomy.
• Endoscopic MVD for TGN.
• Precutaneous Trans- Pedicular Fixations of Fracture Dorso-lumber Vertebrae.

At Qari Hospital we have highly skilled and efficient ENT specialist who uses the latest technologies and equipment to perform endoscopic nasal surgeries and a whole range of conditions to related to the ear, nose and throat.

Patients are seen for a variety of reasons, including care for:

• Chronic and perennial ear infections
  • Sleep symptom
  • The adenoids and tonsils
  • Recurrent sinusitis
  • Head and neck tumors
  • Airway surgical operation
  • Hearing loss
  • Speech and language disorders
  • Ear & nose pain
  • Repairs, (DNS)
  • Ear wax removal
  • Tonsils & thyroid
  • Difficulty in swallowing
  • Ear drum rupture
  • Cold and influenza (allergic rhinitis)

The Physiotherapy and support injuries Department at Qari Hospital; enhances and restores functional ability and quality of life to patients with an injury, impairment or disability. Physiotherapy focuses on restoring mobility and function, and the prevention of further disability. Physiotherapy addresses a variety of conditions and issues, including orthopedics and neurological conditions, sports injuries, arthritis, pain management, back and neck pain, muscle retraining, respiratory exercises and more. We have female doctor in our department of physiotherapy to manage pelvic inflammatory disease (PID) in females; and also for those females who care for it.

A pediatrician is a physician who provides medical care to children from birth to early adulthood (usually until about the age of 21). … Primary care pediatricians often work with other health care providers to manage their patients’ care, immunizations, and wellness exams). They focus on improving overall health, reducing childhood mortality, controlling the spread of infectious diseases, and promoting healthy lifestyles.Primary care pediatricians often work with other health care providers to manage their patients’ care. They help to prevent, detect, and manage the following:

• Behavioral problems (e.g., attention-deficit/hyperactivity disorder [ADHD], attention-deficit disorder [ADD])
• Developmental problems (e.g., learning disabilities)
• Emotional problems (e.g., stress, social issues)
• Physical conditions (e.g., acute and chronic illnesses, genetic disorders, injuries)
• Mental disorders (e.g., anxiety, depression)

Pediatricians provide routine care (e.g., immunizations), perform physical examinations, track their patient’s growth and development, obtain patient and family medical histories, explain medical procedures, order diagnostic tests, and administer treatments. They provide parents and caregivers with important information and recommendations about health and safety during childhood.

At Qari Hospital Okara a caring pediatrician is taking care of the pediatric and neonatal department.

Speech-language provides a wide range of services, mainly on an individual basis, but also as support for individuals, families, support groups, and providing information for the general public. SLPs work to prevent, assess, diagnose, and treat speech, language, social communication, cognitive-communication, and swallowing disorders in children and adults. Speech services begin with initial screening for communication and swallowing disorders and continue with assessment and diagnosis, consultation for the provision of advice regarding management, intervention, and treatment, and providing counseling and other follow up services for these disorders. Services are provided in the following areas: cognitive aspects of communication (e.g., attention, memory, problem-solving, executive functions). speech (phonation, articulation, fluency, resonance, and voice including aeromechanical components of respiration); language (phonology, morphology, syntax, semantics, and pragmatic/social aspects of communication) including comprehension and expression in oral, written, graphic, and manual modalities; language processing; preliteracy and language-based literacy skills, phonological awareness. swallowing or other upper aerodigestive functions such as infant feeding and aeromechanical events (evaluation of esophageal function is for the purpose of referral to medical professionals); voice (hoarseness (dysphonia), poor vocal volume (hypophonia), abnormal (e.g. rough, breathy, strained) vocal quality. Research demonstrates voice therapy to be especially helpful with certain patient populations; individuals with Parkinson’s Disease often develop voice issues as a result of their disease. sensory awareness related to communication, swallowing, or other upper aerodigestive functions. Speech, language, and swallowing disorders result from a variety of causes, such as a stroke, brain injury, hearing loss, developmental delay, a cleft palate, cerebral palsy, or emotional issues.

Audiology is the science of hearing, balancing and related disorders. Audiologists are experts in the non-medical diagnosis and management of disorders of the auditory and balance systems.

Audiologists specialize in:

• Identifying and assessing hearing and balance problems
• Rehabilitating persons with hearing and balance disorders
• Preventing hearing loss

Clinical audiologist specialized in pediatrics, geriatrics, balance, cochlear implants, hearing aids, tinnitus and auditory processing, among other issues. Audiologists provide a number of services including:

• Evaluating hearing.
• Counseling patients and their families and caregivers.
• Fitting hearing aids.
• Evaluating and treating balance disorders.
• Determining an individual’s need for assistive devices.
• Teaching communication strategies, including speech reading.

Psychology is a broad field that encompasses the study of human thought, behavior, development, personality, emotion, motivation, and more. Gaining a richer and deeper understanding of psychology can help people achieve insights into their own actions as well as a better understanding of others.

This procedure is a minimally invasive surgical procedure for viewing the inside of the uterus. Hysteroscopy is performed by inserting a visualizing scope through the vagina and into the cervical opening. Hysteroscopy allows visualization of the inside of the uterus, including the openings to the Fallopian tubes, as well as direct examination of the cervix, cervical canal, and vagina.

WHY IS HYSTEROSCOPY DONE?

Hysteroscopy can be performed for both diagnosis or also for treatment (therapeutic). Hysteroscopy is one of several procedures that your doctor may recommend to

Evaluate or treat abnormalities of the uterus or cervix. Since hysteroscopy examines the lining and interior of the uterus, it is not suitable for evaluating problems within the muscular wall or on the outer surface of the uterus.

Hysteroscopy may be recommended as one step in the evaluation of a number of gynecological problems, including:

• It is being used for determination of causes of infertility with in scope of this procedure.
• Congenital (inborn) anatomical abnormalities of the female genital tract.
• Scarring, or adhesions, from previous uterine surgery or instrumentation such as dilation and curettage ( D&C).
• Polyps or fibroid tumors inside the cervical canal or inside the uterine cavity.
• Retained placenta or products of conception after a birth or miscarriage.
• Abnormal vaginal bleeding.

Hysteroscopy can also be used to help pinpoint the location of abnormalities in the uterine lining for sampling and biopsy. Hysteroscopy can also be used to perform surgical sterilization.

Qari Hospital provides the best healthcare facilities. We have best
doctors in Urology department. Urology is a part of health care
that deals with diseases of the male and female urinary tract
(kidneys, ureters, bladder and urethra). It also deals with the male
organs that are able to make babies (penis, testes, scrotum,
prostate, etc.).Now Urology has advanced interventional techniques ,
where desired results are achieved with minimum or no surgical
trauma to the patient. Qari hospital is equipped with the latest
interventional equipment.

Qari Hospital provides the best healthcare facilities. We have best doctors in cardiology department. Cardiology is the medical specialty dealing with the diagnosis and treatment of diseases and disorders of the heart. Cardiologists are specialists in diseases of the heart. The biggest area of heart disease treated is coronary artery disease e.g. angina. Also treated are abnormal heart rhythms, heart failure, high blood pressure and some rarer conditions. Cardiologists usually treat heart disease with drugs. Some of them are also able to provide treatment for coronary heart disease with coronary angioplasty (a procedure by which the arteries of the heart are widened). If heart surgery is required, a cardiologist will refer you on to see a cardiothoracic surgeon who would perform the surgery.

Cardiothoracic Surgeons from the Queen Elizabeth Hospital, Birmingham hold regular clinics at Hereford County Hospital; however, you will be given a choice of where to go for surgery.

Cardiology is a branch of medicine that deals with the disorders of the heart as well as some parts of the circulatory system. The field includes medical diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular heart disease and electrocardiography. Physicians who specialize in this field of medicine are called cardiologists, a specialty of internal medicine.

Echocardiography:

Echocardiography uses standard two-dimensional, three-dimensional, and Doppler ultrasound to create images of the heart. Echocardiography has become routinely used in the diagnosis, management, and follow-up of patients with any suspected or known heart diseases. It is one of the most widely used diagnostic tests in cardiology. It can provide a wealth of helpful information, including the size and shape of the heart (internal chamber size quantification), pumping capacity, and the location and extent of any tissue damage.

An echocardiogram can also give physicians other estimates of heart function, such as a calculation of the cardiac output, ejection fraction, and diastolic function (how well the heart relaxes). Echocardiography can help detect cardiomyopathies, such as hypertrophic cardiomyopathy, dilated cardiomyopathy, and many others. The use of stress echocardiography may also help determine whether any chest pain or associated symptoms are related to heart disease. The biggest advantage to echocardiography is that it is not invasive (does not involve breaking the skin or entering body cavities) and has no known risks or side effects.

Ultrasound examination, also called sonography or diagnostic medical sonography, is an imaging method that uses high-frequency sound waves to produce precise images of structures within your body. The images produced during an ultrasound examination often provide information that is valuable in diagnosing and treating a variety of diseases and conditions.

Most ultrasound examinations are done using a sonar device outside of your body, though some ultrasound examinations involve placing a device inside your body. Despite its valuable uses, ultrasound cannot provide images of all areas of your body—but there are several other imaging alternatives.

You may need to undergo an ultrasound for a variety of reasons. Ultrasound may be used, among other things, to:

• Evaluate the fetus/ and its growth-placemental position etc.
•  Evaluate the uterus/ovaries and development of ova in the management of infertility.
• Diagnose gallbladder disease.
• Evaluate flow in blood vessels.
• Guide a needle biopsy.
• Guide the biopsy and treatment of a tumor.
• Check your thyroid gland.
• Study your heart.
• Diagnose some forms of infection.
• Diagnose some forms of cancer.
• Reveal abnormalities in the scrotum and prostate.
• Evaluate abnormalities of the muscles and tendons.

When scheduling your ultrasound, ask your doctor for specific instructions for your particular exam.

Though the majority of ultrasound exams are performed with a transducer on your skin, some ultrasounds are done inside your body (invasive ultrasounds). For these exams, the transducer is attached to a probe that is inserted into a natural opening in your body. Examples of these exams include:

• Transvaginal ultrasound: A small, specialized transducer is inserted into a woman’s vagina to view her uterus and ovaries.
• Transrectal ultrasound: A small, specialized transducer is inserted into a man’s rectum to view his prostate.
• Transesophageal echocardiogram: The transducer is inserted into your esophagus to obtain images of the nearby heart. Such exams are typically performed along with sedation.

Ultrasound is usually a painless procedure. However, you may experience some mild discomfort as the sonographer guides the transducer over your body, especially if you are required to have a full bladder. A typical ultrasound exam takes from 10 minutes to 15 minutes.

Safety

Diagnostic ultrasound is a safe procedure that uses low-power sound waves. There are no direct risks from a diagnostic ultrasound exam. Rarely, higher power sound waves can be used for treatment purposes to heat and even destroy some types of tissue or tumors.

At Qari hospital we have qualified and experienced sonographer doctors, who perform the procedure on latest equipments.

We provide state of the art diagnostic testing and consultative services based on physicians and patient’s choice and requests. The staff is experienced and committed to achieve to highest standard of patient care through providing excellent timely services and pathologic reports.

Our physicians are provided direct access to review and discuss all lab results. This communication helps to provide excellent pathology services to our physicians and patients to optimize patient treatment and management plan.

The Qari Hospital Pharmacy supplies patients with their medication needs. The pharmacy in Qari Hospital is open in working hours during the weekdays. It is located on the ground floor near the Emergency. The pharmacy keeps in stock close to 8000 brand names and generic medications that can be administered intravenously or orally to our own patients.

The pharmacist at Qari Hospital conducts,checks and balances on the recommended dosages on medications prescribed by the doctors to ensure safety and quality.