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    Infertility

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    Painful Menstrual Cycles

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    Gynaecologist

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    Know Your Gynaecologist

    Gynaecology and obstetrics are the two important specialties of medical sciences, which study female reproductive health (vagina, uterus, ovaries, and fallopian tubes). Obstetrics deals with female health during maternity and focuses on medical as well as surgical care provided to a woman prior to, during, and after delivery, while gynaecology looks into the reproductive health of women for their entire lifetime. The following services are provided by a gynaecology–obstetrics specialist: Online gynaecology consultation, outpatient consultation, performing surgeries such as C-sections, cone biopsies, laparoscopies (minimally invasive surgeries), and conducting various procedures like placing birth control loops, tubal ligation, hysterectomy (uterus removal), and oophorectomy (removal of ovaries).

    Who is a gynaecologist–obstetrician (OB–GYN)?

    A gynaecologist–obstetrician is a doctor who specialises in identifying, assessing, and treating female reproductive organ disorders along with providing care during pregnancy and childbirth. There are some gynae doctors who primarily focus on preventive health services, while others attend to the health of the female reproductive system.

    An obstetrician specifically is concerned with a pregnant woman’s well-being as well as any surgical procedures or complications associated with or occurring during the pregnancy, while a gynaecologist deals with the treatment of non-pregnant patients.

    In India, a gynaecologist is trained and certified in obstetrics as well, thus providing a one-stop solution for all health issues related to the female reproductive system.

    Common gynaecological conditions

    Whether it is ageing, menstruation, or sexual activity, female reproductive organs are constantly undergoing changes during the entire span of their fertile life. Menstrual disorders, cervical dysplasia, ovarian cysts, urinary incontinence, abnormal uterine bleeding, endometriosis, and vaginitis are some of the commonly occurring gynae problems faced by a woman of the fertile age group. Other common problems dealt with by gynae doctors are:

    • Polycystic ovarian syndrome (PCOS): PCOS is a hormonal disorder in women, which is mainly associated with irregular menses, difficulty conceiving, weight gain, and facial hair growth issues. Getting the right advice from your gynae doctor on the treatment is crucial to treat PCOS.
    • Post: delivery issues- Despite the fact that childbirth is a lifetime experience in a woman’s life, it is many a time associated with postpartum pregnancy depression, extensive hair loss, and many other health issues. Regular follow-ups with your gynaecology doctor help solve these issues and aid in leading a healthy life post-pregnancy.
    • Menstruation issues: Some of the common menstruation issues are irregular periods, missed periods, abnormally high blood flow during menses, or even very little blood flow during menstruation. Proper advice from your gynae doctor can help you alleviate menstruation problems.
    • Breast issues: One of the most overlooked part of women is breasts. If there is any kind of discharge, pain, lump, or any other symptom, it is advisable to contact your gynae right away.

    What do gynaecologists–obstetricians do

    A gynaecologist, also called a ‘female reproductive health specialist’, treats various conditions related to the female reproductive system, which include, but are not limited to, the following:

    • Infertility: This refers to an inability to conceive or bear a child for more than a year.
    • Pain in the pelvis: There are various reasons for pelvic pain arising from gynaecological conditions, such as fibroids in the uterus, dysmenorrhoea, and ectopic pregnancy.
    • Breast issues: Unusual lump, discharge, or pain in the breast can be related to serious conditions. A gynaecologist performs a careful breast examination, arrives at an appropriate diagnosis, and formulates a treatment plan.
    • Menstrual issues like irregular menses and an absence of menstruation
    • Endometriosis
    • Vaginal itching and/or discharge
    • Cancers of the female reproductive system
    • Vaginal infections and yeast infections
      • A gynaecologist–obstetrician also performs various surgical procedures. Some of these procedures are listed here:

        • Cone biopsies: This procedure is conducted as a preventive measure to avoid cervical cancer and involves the removal of abnormal cells from the cervix
        • Laparoscopies: This surgery is commonly performed for the removal of ovarian and fallopian tube cysts and infections.
        • Hysterectomy: In this procedure, the uterus, whether as a part of family planning or due to pathologic condition, is removed.
        • C-sections: This is a surgical method of childbirth used to avoid labour complications.
        • Cervical suturing: This helps prevent miscarriages.
        • Normal delivery

    When to consult a gynaecologist

    Visiting a gynaecologist–obstetrician whilst you are pregnant and breastfeeding is common; however, women often neglect the other health issues associated with their female reproductive organs leading to various health problems. These health issues may arise from various factors including poor hygiene habits, improper diet, and stress, which can result in disorders such as infertility, infections, changes in menstrual cycles, hormonal imbalance, and PCOS. Therefore, it is vital to monitor your overall health in relation to these conditions and consult a gynaecology doctor if you notice anything unusual.

    If you experience symptoms such as itching in the vagina, cramps, irregular menses, and abnormal vaginal discharge, consult your gynaecologist right away. Moreover, it is advisable for women of all ages to undergo annual check-ups even if they do not have any reproductive health issues. During these annual check-ups, your gynaecologist will perform certain laboratory tests such as STD tests and Pap smears depending on the age group you fall into and may advise some immunisations as well in the prescription to help prevent any reproductive health issues.

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