Many women in Bangalore delay gynaecological care. Dr. Sanjana L at Health Nest (HSR Layout) and Raghava Hospital (Attibele) shares 12 important signs that it is time to see a gynaecologist — plus why routine check-ups matter.
Why Do Women in India Delay Gynaecological Care?
A 2024 study in the Journal of Obstetrics and Gynaecology of India found that over 65% of Indian women delay gynaecology care by at least six months after symptoms start.
Common reasons include embarrassment, fear of examinations, taboo around sexual health, busy work lives, or assuming painful or irregular periods are "normal."
Early visits can prevent serious disease, protect fertility, improve daily life, and sometimes save lives.
Dr. Sanjana L works in HSR Layout, Bangalore, with 10 plus years of experience. She encourages every woman to put her health first. Below are 12 signs it is time to book a visit.
12 Signs You Should See a Gynaecologist
1. Irregular Periods
A normal cycle is about 21 to 35 days.
If your periods often come early, late, or skip months, hormones may be out of balance. Causes can include PCOS, thyroid problems, stress, or other conditions.
This is a common reason for visits. Early tests usually help a lot.
2. Extremely Painful Periods (Dysmenorrhoea)
Mild cramps can be normal.
Pain that stops you from work or school is not something to ignore. Causes may include endometriosis, adenomyosis, fibroids, or pelvic infection. These issues can worsen without care.
3. Heavy Menstrual Bleeding (Menorrhagia)
Seek help if you soak a pad or tampon every 1–2 hours, pass large clots, or bleed more than seven days each cycle.
Causes can include fibroids, polyps, hormone shifts, or bleeding disorders. Heavy loss can also cause low iron and tiredness.
4. Bleeding Between Periods or After Intercourse
Bleeding between cycles or after sex should be checked soon.
Many causes are simple and treatable. A few cases need urgent attention, so please book a review rather than waiting.
5. Unusual Vaginal Discharge
Normal discharge is mild and changes a little across the month.
Green or grey colour, a strong fishy smell, cottage-cheese texture, or big change in amount can mean infection. Most infections are easy to treat once confirmed.
6. Persistent Pelvic Pain
Lower belly pain outside of periods needs a review.
Causes can include cysts, endometriosis, infection, or fibroids. Rarely, sudden severe pain needs emergency care. Dr. Sanjana uses history, exam, and ultrasound to plan next steps.
7. Difficulty Conceiving (Infertility)
If you are under 35 and have tried for 12 months without pregnancy, book a fertility chat. If you are 35 or older, come after 6 months.
Common causes include PCOS, blocked tubes, endometriosis, or age-related egg changes. Early planning can save time and stress.
8. Urinary Incontinence (Leakage)
Leaking with cough, laugh, or exercise is common after birth. It is also treatable.
Options include pelvic floor training, lifestyle tips, and sometimes a small procedure.
9. Painful Intercourse (Dyspareunia)
Pain with sex has many causes. Examples include dryness after birth or near menopause, infection, endometriosis, or muscle tightness.
You can speak openly in clinic. The goal is comfort and a clear plan.
10. Lumps or Changes in the Breasts or Vulva
New lumps, skin changes, or odd sensations should be checked without delay.
Most findings are benign, but early review is the safest approach.
11. Symptoms of Menopause or Perimenopause
Hot flushes, poor sleep, mood shifts, dryness, or cycle changes in your 40s or 50s may mean perimenopause.
Care can include lifestyle steps and, when right for you, hormone therapy.
12. You Have Not Had a Cervical Screening (Pap Smear) Recently
Cervical cancer is common in India yet often preventable with screening.
Many women should have a Pap test on a set schedule from about age 25, or an HPV test as advised. If you are overdue, book a slot at Health Nest.
Routine Gynaecological Check-Ups — Even When You Feel Fine
Even if you feel well, plan a routine visit at least once a year from about age 21. If you are sexually active, start within three years of first sex.
Each visit can cover:
- Cervical cancer screening (Pap smear / HPV test)
- Breast examination
- Contraception counselling and family planning
- STI screening if relevant
- Discussion of menstrual health, fertility, or menopausal concerns
- HPV vaccination guidance (for eligible women)
- General reproductive health monitoring
Think of it like a dental check-up: small fixes now can prevent bigger problems later.
Frequently Asked Questions
At what age should a girl first visit a gynaecologist?
Most girls benefit from a first visit between ages 13 and 15. Come earlier if periods are very painful, very irregular, or if puberty seems delayed.
The first chat is mainly questions and advice. An internal exam is only done if it is truly needed.
Do I need a gynaecologist if I am not sexually active?
Yes. Care still includes periods, hormones, ovaries and womb health, breast checks, and general wellbeing.
What should I expect at my first gynaecology appointment?
Dr. Sanjana will ask about your history and your goals. She will suggest tests only when they help.
An internal exam is done only when needed and only with your consent. You should feel heard and respected.
Is a gynaecological check-up painful?
Most visits are not painful. A Pap smear can feel odd for a few seconds. The team works gently to keep you comfortable.
Book Your Appointment at Health Nest, HSR Layout
You do not need to wait until symptoms feel urgent. Dr. Sanjana L sees women of all ages in HSR Layout, Bangalore.
Health Nest sits near Agara Lake. She also consults at Raghava Hospital, Attibele, on Sarjapura–Attibele Road.
Patients come from Koramangala, BTM, Sarjapura, Electronic City, Chandapura, and nearby areas.
Call Health Nest or use the online booking form to choose a time.
Dr. Sanjana L
MBBS MS ( OBG) Gold Medalist FRM ( RGUHS) FMAS
Gynaecologist & Obstetrician at Health Nest, HSR Layout & Raghava Hospital, Attibele, Bangalore
Dr. Sanjana L has over 10 years of experience in obstetrics and gynaecology. She is known for her compassionate, patient-centred approach and consults in English, Hindi, Kannada, and Telugu. She serves patients from HSR Layout, Attibele, Sarjapura, Electronic City, Koramangala, BTM Layout, Chandapura, and Hosur.