When to consult a Gynecologist?

A gynecologist is the one who is specialized in treating reproductive tract problems in the women and after MBBS, gets trained for a Post Graduate degree in Gynecology.

Who should consult a Gynecologist?

An adolescent girl normally gets her periods by the age of 16, but if she does not, then she should see a Gynecologist. She is evaluated for endocrine / Genetic issues like Turner’s syndrome or an anatomical problem like absent uterus. Blood tests and Sonography studies will help the Gynecologist come to a diagnosis and offer her the right treatment.

Menstrual irregularities like delayed periods, heavy periods are seen more in this age group and they need evaluation by a Gynecologist. Polycystic Ovarian Syndrome (PCOS) is a common problem seen in girls who are overweight and have acne. Gynecologist will evaluate them by getting their blood tested for any endocrine problems like Hypothyroidism which is easily correctable. A Pelvic Ultrasonography will reveal the diagnosis of Polycystic Ovaries. They need to reduce their weight by proper exercise and change in their lifestyle.

An adult woman with issues like Menstrual Irregularity, heavy flow during her periods, painful periods may be having Uterine Fibroids / Ovarian cyst or Endometriosis. All these can be easily diagnosed by a Pelvic Sonography. The treatment depends on the size of the fibroids or the ovarian cysts.  If the cyst or the fibroid is very big and the woman has symptoms then the woman would need a surgical correction. The surgical correction is done by a Gynecologist. And today because of advanced technology, all these can be performed through the laparoscope.

A woman with abnormal vaginal discharge should see a Gynecologist for proper evaluation and treatment. Infertility issues and Infertility treatment is preferably to be taken from a Gynecologist who is a Fertility specialist and has a dedicated ART centre.

A woman who is planning a pregnancy or gets pregnant needs to consult a Gynecologist.  He/ She would advise her certain tests. It is important that the woman takes Folic Acid supplements in this period. Sonographies during various stages of pregnancy will be reassuring. Fetal Heart beat is seen in the sixth week of pregnancy. An anomaly scan at 19 weeks can detect any obvious fetal abnormalities. The Gynecologist will monitor her weight, blood pressure and fetal growth throughout the pregnancy. She will monitor her progress in labour and conduct her delivery. And a Gynecologist is trained to do a Caesarian Section if indicated. The woman is motivated to breast feed her baby.

A premenopausal woman having Symptoms like hot flushes, insomnia, Irritability, Heavy periods, Irregular periods should visit her Gynecologist, who may offer her Hormone Replacement Treatment.

Any postmenopausal woman who has bleeding “Per Vaginam” needs to see a Gynecologist to evaluate the cause.  It is very important to rule out any malignancy of the uterus. Hence the woman should not neglect this symptom.

Select your Gynecologist well as he /  she is a best friend of a woman.

Dr. Sudha Tandon is an Obstetrician-Gynecologist and an expert Endoscopy Surgeon and ART(Assisted Reproductive Techniques).  She and her experienced team have helped over 2000 couples battle various fertility issues for more than 20 years.  Facilities provided in both of her clinic are Gynecology Endoscopy, Fertility Treatment / ART [IUI, IVF, ICSI, Surrogacy, Egg Donor] USG(Sonography) and Maternity Care.

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