Introduction - Pregnancy is always treated as a blessing or joy when a couple  is trying to conceive. But getting pregnant is not as simple as we think it to be - because the process of pregnancy depends on various factors. Womanhood starts from the age of menarche or first menses and the fertility of the woman is considered high. She can continue to have children at any time, till her menopause, if she so desires. But, this decision comes with risks and advantages; the most fertile period of a woman is in her late teen’s i.e., around 19yrs till early 30s . Then fertility naturally begins to decline as the woman gets older, making it harder to conceive. A late pregnancy is not only difficult but also risky for the mother and baby.

What Happens With Advancing Age According To Science?

Scientifically speaking, women’s reproductive organs are fully functional and at their peak health between their late 20s and early 30s. Getting pregnant and taking care of a whole new life is not merely decided by age alone, but it is one of the factors to think about, while other factors like emotional willingness and financial readiness also matter when starting a family. Hence the timing for each woman may differ accordingly. 

Women carry a finite number of eggs at birth- approximately around 2 million initially, and it drops to 3,00,000 at puberty, By late 30’s, it drops to just over 25,000 eggs and by the age of 50, it will be as low as 1000. So, a general thumb rule is - ovarian reserve or the number of eggs decrease with increasing age, negatively impacting fertility, as time goes by. 

Factors that Affect Fertility-

• Quality of egg: Having a healthy baby is the wish and dream of every mother and this is decided by the quality of an egg. During the peak reproductive age that is the ages between 20-31 yrs, egg quality is at its best and as age progresses, quality starts to decline. Once the woman crosses the age of 35 yrs, her fertility starts to drop quickly.

The chances of getting pregnant decreases with age - like you have a 20% chance to conceive at the age of 25, 12% chance at the age of 35 and 7% post 40 yrs.

 Certain accompanying lifestyle related factors include- 

• Smoking
• Underlying systemic diseases
• Pelvic organ infections
• Any form of cancer.

Advantages Of Getting Pregnant Between Your Late 20s And Early 30s:

• Any and all post pregnancy effects are well tolerated and mothers tend to heal faster if they are younger. 
• With the growth of a healthy baby, women in their peak fertile age can provide better intra- uterine life to the foetus, increasing the chances of producing a healthy off-spring.
• Energy: Women in between late twenties and early thirties have sufficient energy to take care of their little one.
• There will be fewer chances of pregnancy complications.

Risks Of Delayed Pregnancy Include Several Conditions Like -

• Gestational diabetes
• High blood pressures
• Pre-eclampsia
• Miscarriages
• Premature birth
• Still births
• low birth weight in infant
• Chromosomal abnormalities
• Cardiac risks to the mother. 

According to IVF specialists and health care professionals, as age advances, the amount of DNA present in the older eggs may have too much or too little genetic information, this can increase the chances of having a child with genetic abnormality or having a miscarriage. Planning pregnancy at an older age not only makes it hard to conceive but it also poses serious health risks to the mother.

Conclusion - If you’re a couple planning a pregnancy, then do consider evaluating the health conditions of both the parents under the guidance of experienced IVF specialists or gynaecologists available at a women’s clinic nearby, so that they can guide and advise you on the most suitable plans available. There are multiple options available like freezing eggs and sperm if you’re at risk of any other illness like cancer treatment which can damage your sperm or egg. Talk to specialists at Feminova Clinics, which is the best fertility Clinic In Hyderabad, if you have a history of any other illness related to thyroid, heart, epilepsy etc.  An early consultation with the experts can provide better options for you and your off-spring.

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Introduction - Menstruation or commonly known as a period is a bodily cycle seen in women where shedding of the uterus lining occurs every month. A regular cycle is a good thing to have. The shedding partly consists of tissue and blood. This process is driven by hormones which are chemical messengers in your body and organs like the pituitary gland in the brain and the ovaries play a major role in menstruation. A cross sectional study conducted in India revealed that 50 to 87.8% of women reported dysmenorrhoea. Among this range, 70% of females in the adolescent age group - suffered the most pain. 

How Does Healthy Menstruation Happen?

This cyclical occurrence is under the tight control of hormones - especially from the pituitary and ovaries, which influence the uterus into initiating the process of menstruation. The process of menstruation happens in 4 phases namely the menses, follicular phase, ovulation and the luteal phase.

Hormones like oestrogen, progesterone, follicular stimulating hormone and prostaglandins are responsible for the process of a smooth cycle. Any irregularities in these hormones can cause various symptoms ranging from painful menses to infertility.

What Is Painful Menses Or Dysmenorrhoea?

Dysmennorhoea is pain caused in the lower abdomen and back during the process of menstruation. It is classified into 2 types: primary and secondary. 

• Primary dysmenorrhoea is the most common type seen in adolescent and young adult women. Hormones like prostaglandins are released in increased amounts leading to the cut off of blood flow to the uterus, causing ischemia and severe pain. Early menarche, irregular oestrogen production, smoking, stress and obesity, and family history are some contributing factors for the high prostaglandin levels.
• Secondary dysmenorrhoea: This type of menstrual cramps or pain is seen due to underlying pelvic conditions like endometriosis, fibroids, adenomyosis or PID (Pelvic inflammatory disease), polyps, cervical diseases, congenital abnormalities, ovarian cysts and Intra uterine device (IUD) complications. Any of these factors can cause the pelvic organs like the uterus and ovaries to produce high levels of prostaglandins, causing extreme pain during menses. Symptoms can range from extreme pain in the lower abdomen, thighs, a feeling of pressure, bloating, nausea, vomiting, dizziness and headaches respectively. 

Dysmenorrhea must be diagnosed and treated in a timely fashion. If it is primary dysmenorrhea, then, there is no need to worry too much. But, if other medical conditions are causing severe pain, it is important to deal with them, to prevent any complications from occurring later on. Untreated PID or endometriosis can lead to infertility in severe cases. Diagnosis is usually done by a gynaecologist- using a pelvic exam. A speculum will also be inserted, so that the doctor gets a better look at your vagina and cervix. If results remain inconclusive and you still have painful symptoms, then you may need a hysteroscopy, ultrasound or a laparoscopy. 

Management of Dysmenorrhoea Symptoms- 

Relieving period cramps depends on severity and underlying pathologies. If there are no underlying diseases, pain killers, ample rest with hot bag application are advised. If the pain is extremely severe affecting your daily life, your gynaecologist may provide hormonal medications. In secondary dysmenorrhoea pains, the underlying uterine or ovarian problems must be treated first and the body recovers by itself. 

Conclusion - Menstruation is a natural process like digestion and respiration. Any pain in such a natural process is an area of concern and should be addressed at the earliest. Visit your nearest gynaecologist if you are affected by it. Informing your complete medical history helps the gynaecologist to suggest a plan according to your condition. Since dysmenorrhoea may be hormonal in nature, you will need holistic care. Feminova Women’s Clinic has some of the best gynaecologists, including the Top PCOS Specialist in Hyderabad - who are well experienced in addressing your suffering by providing appropriate measures and requisite advice.

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Introduction- Women have to go through a lot of ups and downs in life and these major changes are mirrored by the body- in the form of hormonal shifts and in how the reproductive system works. Studies tend to show that men are more likely to get diagnosed because they prioritise their health a little better than women- who are all about getting work done, setting priorities and moving ahead in life. So, unless there is a real problem, women don’t really think going to a doctor will help. This thought process can be normal, but it is not necessarily right. 

What is Preventive Gynaecological Care?

Preventive care essentially means being proactive and getting tested regularly, so that even if you feel normal, you can continue to go about life normally too. Preventive screening says- prevention is the best cure, and that delaying timely diagnosis can affect your outcomes significantly. The main reasons you should go in or an annual check up even if you feel fine are-

• Check for any outliers and make changes in your lifestyle if needed. 
• Check if you are at high risk of developing any particular condition- due to exposure to agents in the environment or if you have high-risk genetic markers. . 
• For regular vaccinations
• To build a good rapport with a doctor who will help you not only during times of illness, but when you feel fine too. 

Tests in A Well-Woman Package-

Many hospitals and labs offer well-rounded diagnostic well-woman packages, which are designed to check for blood tests, Pap smears (to check for cervical cancer risk), HPV test and STI testing and requisite vaccinations, a mammogram (for assessing breast cancer risk), blood pressure, diabetes, cholesterol levels and bone density tests once a year, or once every 2-3 years (if you fall in the low risk category). Other tests may be added as needed. 

Blood pressure screening and blood lipid profile testing is done to check for heart disease risk. Even if you have heart disease, or it is just the beginning, you won’t notice any definite symptoms, which is why preventive screening is essential in this case. 

Preventive Screening guidelines have been well established for women in different age groups-

• You should get your BP checked every 3 years at least, though an annual check up is the best practice. 
• A screening mammogram is a good idea after 35 years of age, if you carry high risk markers or just want to be proactive. But, doctors don’t recommend mammograms often. 
• A Pap smear needs to be done every 3 years (between 21-29 yrs of age), by itself. 
• You should consider getting a Pap smear and an HPV test once you hit 30. You should continue to get tested every 5 years, till you turn 65 (unless you are at risk or if your doctor asks you to get screened more often). 
• Blood tests for cholesterolemia and heart disease from 20 years of age (if you have a family history of heart disease). If you are in the low risk group, begin screening from age 40-45 and above, every year or every 3-5 years. 

What Vaccinations are Safe to Take for Me?

Women who are sexually active need to be careful about STI and HPV infections in particular. The vaccines you should get without any delay, if you have missed them include-

• TDap- Tetanus and Diphtheria vaccine (one during adolescence or after you are an adult) followed by a booster shot every 10 years. 
• HPV or Human Papilloma Virus vaccine if you have not been vaccinated for HPV before. 
• Hep-C screening should be done between 18-79 years of age and during every pregnancy, without fail. Hep-B vaccination can be availed. 
• HIV screening- once at least (between 15-65 years of age). No vaccine available. 

Conclusion- Preventive gynaecological screening is your best friend in getting top quality preventive care. So, if you have been searching for a “Lady Gynecologist Near Me” or a top “Women Clinic Nearby”, look no further, as Feminova Clinics is the best place to go to. We offer a full spectrum of gynaecological and obstetric services which have been designed to help a woman in any stage of her life. We offer cutting edge testing, diagnosis, effective treatments, counselling and our specialists will help you make changes to your lifestyle in the long term, as they don’t believe in short-term fixes. 

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Introduction - Most of us think that an obstetrician and a gynaecologist are the same, since it is normally written as OB/GYN in many signboards or websites. While you are not too far from the truth, it is important to understand that it is actually 2 closely related specialities that are being talked about here- obstetrics and gynaecology. This means if someone is an OB/GYN, then they have both specialisations. Let us break down each of these 2 aspects in more detail, in this blog. 

Who is a Gynaecologist?

A gynaecologist is a specialist who helps you take care of your reproductive health your whole life- which means you will go to them when you get your first period, when you want to conceive, when you notice any painful symptoms of the reproductive system like the vagina, the uterus, the breasts etc. all the way up to and beyond you become menopausal. 

So, in effect, you can talk to your gynaecologist about-

• Birth control and planning
• Irregular periods
• Infections of any kind
• Pelvic prolapse
• Endometriosis
• Polyps
• Cysts
• Fibroids, among other things. 
• Preventive screening- like Pap smears, HPV tests, STI testing.
• PCOS and other related hormonal issues 
• Vaccinations

They can perform surgeries to remove fibroids, perform hysterectomies, tubal ligation, myomectomy and other specialised procedures when needed. 

Who is an Obstetrician?

An obstetrician is a doctor who is more concerned about pregnancy - from before you try to conceive, during pregnancy and much after childbirth - they will help you with all aspects or prenatal and postnatal health concerns. Only obstetricians can deliver babies. They are trained to understand if you or your little one are in distress and will help in the best way possible. They are the right personnel to go to, if you have-

• An ectopic pregnancy
• If you are pregnant in general
• If you have preeclampsia
• If you have any issues with the placenta
• If you will need any other mode of delivery- like Caesarean, because it is a high-risk pregnancy for example. 
• If you need an episiotomy during delivery 
• If you have suffered from a miscarriage before
• If you want any fertility treatments done
• If the foetus needs any diagnostic or genetic testing done
• They can also assist you in dealing with post-partum depression and get you in touch with a therapist. 

In short, they are trained to help you deliver, even if the circumstances may be especially hard or if there are complications that may happen. 

Conclusion- Both obstetricians and gynaecologists start off with an MBBS, followed by a specialisation in obstetrics and gynaecology. They can then go on to choose superspecialty courses thereafter. If you have been searching for the “best gynaecologist near me” or “fertility specialist near me” or “Obgyn near me”, then you should know that Feminova Clinics has conveniently located branches all over Hyderabad. We offer a full spectrum of services- right from when a girl hits puberty to well after a woman has passed menopause. 

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Introduction- Most women in our country have their first visit to a gynaecologist during pregnancy when they are much older or if they have issues relating to delayed or painful periods, but not when everything is going well. While this mindset is common and cannot be changed that easily (who wants to go to a doctor unless there is an issue or an emergency? No one.), it is important to understand that being proactive about teen and adult health is not a bad thing. So, if you would like to visit one even if everything seems normal, you should just do it and NOT overthink it. 

Who Is A Gynaecologist?

A gynaecologist is a medical specialist who helps diagnose and treat all symptoms and conditions that relate to the female reproductive system. This means they can examine the uterus, the vagina or your breasts to check for any problems you may be having and to treat them appropriately. They can also perform surgeries when needed. Since they provide generalised care from puberty till after menopause, it makes sense to check in with them every so often. 

Gynaecologists can help you plan your pregnancies, prescribe different modes of birth control, diagnose and treat any issues that may arise in the uterus, vagina, breasts or other parts of the reproductive system and administer pelvic exams when needed. They can also help you with preventive screening tests and vaccinate you. Lastly, they can also test and treat you if you suffer from any sexually transmitted infections. 

Age Wise Guide of When To Visit A Gynaecologist

Doctors in the field will tell you when to get a check up done. 

• Ideally, the first visit should be when you are a teen or if you have a teenager at home. This way, they can learn more about what puberty is, understand why the body changes so much and learn more about how to stay safe later on in the future. 
• Next, if you suffer from painful periods, heavy bleeding or if it is a painful monthly ordeal, then you should go in for a consultation. Painful periods are NOT normal and are caused due to underlying issues. 
• If there is any strange smelling or looking discharge, itchiness or redness, then it may be some kind of infection. Timely treatment is necessary, so that it does not get worse. 
• You will obviously need a gynaecologist to help you during pregnancy, as they are the ones who will check your scans and update you about your health and how your little one is doing. 
• The other instances you should go in for a check up include-Painful intercourse, presence of lumps or bumps in the vagina, if you are not able to conceive, have severe menopausal symptoms and low libido, among other issues, then getting a consultation in a women’s clinic nearby is essential.

The general thumb rule has been given below, with age groups, for easier understanding- 

• Ages 13-25 - Hormonal changes, period related problems like heavy or infrequent ones can be diagnosed and treated effectively. Even if you are normal, go in once a year, for a check up. 
• From ages 25-35- Get annual check ups with screening tests added in- like the Pap smear, HPV tests and breast exams. Since many of you will be sexually active, get contraception advice and STI tests too. 
• Ages 36-50- Once a year for preventive screening and for any other treatments you may require. This will include STI screening, HPV tests, Pap smear etc. 
• Ages 50 and above- once you are menopausal, the chances of getting certain cancers is much higher. So, screening can be beneficial. Pelvic exams and bone density scans need to be done once a year, along with Pap smears. 

Conclusion- From getting the best PCOS treatment in Hyderabad to cutting edge fertility clinics in the city, we at Feminova Clinics provide comprehensive diagnosis and treatment for all sorts of conditions that ail women at different stages of their life. Our doctors will help you from the time you are a teenager to when you have become menopausal and want to live extra care-free. So, if you have been searching for “best gynaecologist near me”, then you don’t have to go too far. Feminova Clinics is conveniently located in different parts of the city. Walk in for a consultation, today! 

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