Frequently asked question

According to FOGSI, it is recommended that women visit a gynecologist at least once a year for a preventive check-up. More frequent visits may be necessary if you have:

• Menstrual irregularities
• Fertility concerns
• Menopausal symptoms
• Pelvic pain or infections
• Pregnancy-related issues

As per FOGSI guidelines, the first visit should happen between ages 13–15, or earlier if she has menstrual problems, excessive pain, or reproductive health concerns.

Seek immediate medical attention if you experience:

• Heavy, prolonged, or painful periods
• Unexplained pelvic or abdominal pain
• Abnormal vaginal discharge or foul odor
• Irregular bleeding or bleeding after intercourse
• Missed periods with negative pregnancy test
• Pain or swelling in the pelvic area
• Symptoms of urinary tract infection (burning, urgency, frequency)

Mild irregularity is common during puberty, postpartum, or perimenopause. However, persistent irregular cycles may be due to:

• PCOS
• Thyroid issues
• Hormonal imbalance
• Fibroids or endometriosis
• Stress, excessive weight changes

These should be evaluated and treated accordingly.

Polycystic Ovary Syndrome (PCOS) is a hormonal disorder affecting ovulation. It can be managed through:

• Lifestyle changes (diet, exercise)
• Hormonal regulation (medications)
• Ovulation induction (non-IVF fertility support)

Dr. Puuja Arora Bhatnagar specializes in natural conception in PCOS without IVF in most cases.

Clear or white discharge without odor or itching is normal. Seek care if the discharge is:

• Yellow/green or foul-smelling
• Associated with itching, pain, or burning
• Accompanied by bleeding or pelvic pain

May indicate infections like bacterial vaginosis, yeast infection, or STIs

Management depends on symptoms, size, and fertility goals. Options include:

• Watchful waiting
• >Medical therapy (hormonal/non-hormonal)
• Laparoscopic/myomectomy or cystectomy (minimally invasive)
• Hysterectomy (in selected cases)

Women typically reach menopause around 45–52 years. See a gynecologist for:

• Hot flashes, night sweats
• >Vaginal dryness or pain during sex
• Mood swings, insomnia
• Bone health (osteoporosis screening)

Tailored HRT (hormone replacement therapy) and lifestyle care may be advised

Yes. As per FOGSI, natural fertility can be optimized through:

• Ovulation tracking
• >Treating hormonal imbalances (e.g. PCOS, thyroid)
• Managing endometriosis or tubal issues
• Correcting anatomical issues via laparoscopy

Dr. Puuja Arora Bhatnagar has a high success rate in natural conception without IVF.

Laparoscopic (keyhole) surgery offers:

• Minimal pain and scarring
• Faster recovery
• Shorter hospital stay
• Better outcomes in treating fibroids, cysts, endometriosis, ectopic pregnancy