• Published on: Jul 19, 2021
  • 1 minute read
  • By: Dr Rachana Choudhary

Top 10 Things You Need To Ask Your Gynecologist

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Q1. When do you need to consult gynaecologists?

Any abnormal bleeding such as infrequent periods, heavy periods, Bleeding after sexual intercourse, missed periods for more than 6 months, bleeding over 4 months on contraceptive or HRT. Any bleeding after cessation of the period for more than 12 months.

Any offensive discharge, pelvic pain, unable to conceive after trying for more than a year, painful sex, severe premenstrual symptoms such as persistent bloating, irritability, emotional instability, breast tenderness muscle cramps sleep disturbance food craving. Any local discomfort such as vulval pain any lumps/ swelling skin condition.

Q2. Common concerns of teenagers?

Cervical screening age-   Earliest age to start screening is 21 if a person is sexually active. You should consult a doctor if you are experiencing unexplained bleeding after sex or irregular bleeding.

Painful periods- Painful periods are quite common and you can control pain with ibuprofen or mefenamic acid if not contraindicated. The other option is a contraceptive pill which helps to regulate the periods and reduce the pain.

Safe contraception?  

You are advised to consult a gynaecologist to choose the most appropriate contraceptives for yourself. There are different options such as oral injectables and long-term contraceptives. Certain hormones are contraindicated in certain health conditions. One should avoid using emergency contraception or seeking medical termination as this can cause complications and may have an adverse effect on fertility.

What is cervical screening and when is it required for young women?

Cervical screening- any woman with past sexual history should have a pap smear every3 year. Any abnormal uterine bleeding or offensive discharge should trigger  gynae consultation

How to avoid Sexually transmission diseases. ? 

You do not contract HPV or STI by sharing a public toilet.  Infection occurs through the skin to skin contact during sexual activity. This can occur even if you are in a same-sex relationship. Any STI can be reduced if you use a condom however it does not completely eliminate the risk.

Is it safe to have sex during periods? 

Sex during periods can be messy and hence avoided. You are at risk of getting pregnant if your cycles are shorter and you ovulate early and have sex on day 5-7 of your periods so you should use condoms or use contraceptives

What to do when you get Abnormal discharge?

Some discharge is normal especially mid-cycle. Normal vaginal flora is good to avoid any infection. Any imbalance of this flora can result in abnormal discharge. One should avoid any vaginal Douche or synthetic products. Need to consult a doctor if there is persistent or offensive discharge to exclude STI. Some odour is common however if it is fishy, foul odour, itchy, curdy then consult a gynaecologist.

How to plan a pregnancy?

When planning pregnancy ensure you are fit and healthy. If you have any known medical illness consult an obstetrician to plan the pregnancy. Correct anaemia and commence on folic acid and multivitamins

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women

early signs of hormonal imbalance

Hormones act as chemical messengers that regulate nearly every function in the body, from metabolism and mood to sleep, growth and reproduction. When hormone levels fall out of balance, the effects can be widespread and often confusing. Understanding the early signs of hormonal imbalance is essential because these changes are frequently subtle and mistaken for stress, ageing or lifestyle fatigue.

According to endocrine and public health studies, many adults live with undiagnosed hormonal imbalances for years, allowing symptoms to worsen and increase the risk of chronic health conditions.

 

What Is Hormonal Imbalance?

Hormonal imbalance occurs when:

  • hormone production is too high or too low
     

  • hormone release timing is disrupted
     

  • feedback mechanisms fail
     

Even small imbalances can cause noticeable symptoms because hormones influence multiple organ systems simultaneously.

 

Why Hormonal Imbalances Are Increasing

Modern lifestyles contribute significantly to hormonal disruption.

Key factors include:

  • chronic stress
     

  • poor sleep
     

  • sedentary behaviour
     

  • processed diets
     

  • environmental toxins
     

  • ageing and metabolic changes
     

These factors strain the endocrine system over time.

Common Early Signs of Hormonal Imbalance

Persistent Fatigue

Unexplained, ongoing tiredness is one of the earliest signs.

Hormonal causes include:

  • thyroid dysfunction
     

  • cortisol imbalance
     

  • insulin resistance
     

Fatigue that does not improve with rest requires evaluation.

 

Unexplained Weight Changes

Sudden weight gain or loss without dietary changes may signal:

  • thyroid hormone imbalance
     

  • insulin resistance
     

  • cortisol dysregulation
     

Hormonal weight changes often occur around the abdomen.

 

Mood Swings and Emotional Changes

Hormones directly influence brain chemistry.

Early emotional signs include:

  • irritability
     

  • anxiety
     

  • low mood
     

  • poor stress tolerance
     

These symptoms are often misattributed to mental health alone.

 

Sleep Disturbances

Hormones regulate circadian rhythm.

Imbalances may cause:

  • difficulty falling asleep
     

  • frequent waking
     

  • non-restorative sleep
     

Poor sleep further worsens hormonal disruption.

 

Changes in Appetite and Cravings

Hormonal shifts affect hunger signals.

People may experience:

  • intense sugar cravings
     

  • irregular appetite
     

  • overeating despite fullness
     

These changes are linked to insulin and cortisol imbalance.

 

Skin, Hair and Nail Changes

Early physical signs include:

  • acne in adulthood
     

  • hair thinning or hair fall
     

  • dry skin
     

  • brittle nails
     

These often reflect thyroid, androgen or estrogen imbalance.

 

Menstrual or Reproductive Changes

In women, early signs include:

  • irregular periods
     

  • heavy or painful menstruation
     

  • missed cycles
     

In men, symptoms may include:

  • reduced libido
     

  • fatigue
     

  • mood changes
     

Reproductive symptoms are key indicators of hormonal health.

 

Hormonal Imbalance and Metabolic Health

Hormonal disruption affects:

  • blood sugar regulation
     

  • fat metabolism
     

  • cholesterol balance
     

Left untreated, this increases the risk of diabetes, obesity and heart disease.

 

Why Early Symptoms Are Often Ignored

Hormonal imbalance is frequently overlooked because:

  • symptoms develop gradually
     

  • signs are non-specific
     

  • people self-manage with lifestyle changes alone
     

Unfortunately, delay allows progression.

 

Conditions Commonly Linked to Hormonal Imbalance

Hormonal imbalances may underlie:

  • thyroid disorders
     

  • polycystic ovary syndrome (PCOS)
     

  • insulin resistance
     

  • adrenal fatigue patterns
     

  • menopause-related changes
     

Early detection simplifies management.

 

Importance of Early Diagnosis

Identifying hormonal imbalance early:

  • prevents complications
     

  • reduces medication dependence
     

  • improves quality of life
     

  • supports metabolic and mental health
     

Early intervention is more effective and less invasive.

 

How Hormonal Imbalance Is Evaluated

Evaluation may include:

  • symptom assessment
     

  • blood hormone testing
     

  • metabolic screening
     

  • lifestyle analysis
     

Testing is guided by symptoms and clinical findings.

 

Lifestyle Measures That Support Hormonal Balance

Stress Management

Reducing stress normalises cortisol and improves overall hormone regulation.

 

Sleep Hygiene

Consistent sleep schedules support endocrine rhythm.

 

Balanced Nutrition

Adequate protein, fibre and micronutrients support hormone production.

 

Physical Activity

Regular movement improves insulin sensitivity and hormonal balance.

 

When to Seek Medical Advice

Consult a healthcare professional if:

  • symptoms persist beyond weeks
     

  • multiple symptoms occur together
     

  • quality of life declines
     

  • weight, mood or sleep changes worsen
     

Early evaluation prevents long-term damage.

 

Long-Term Risks of Untreated Hormonal Imbalance

Ignoring symptoms may lead to:

  • infertility
     

  • metabolic syndrome
     

  • osteoporosis
     

  • chronic fatigue
     

  • mental health disorders
     

Early care significantly reduces these risks.

 

Conclusion

Early signs of hormonal imbalance often appear subtle but reflect deeper endocrine disruption. Persistent fatigue, weight changes, mood swings, sleep problems and skin changes are not just lifestyle issues—they are signals the body should not ignore. Recognising these early signs and seeking timely medical evaluation allows for effective management, prevents chronic disease and restores long-term health balance. Hormonal health is foundational to wellbeing, and early action makes all the difference.

 

References

  • Indian Council of Medical Research (ICMR) – Endocrine and Metabolic Health Report

  •  National Institute of Nutrition (NIN) – Hormones and Metabolism Research

  • World Health Organization (WHO) – Endocrine System and Hormonal Health Guideline

  •  Lancet – Hormonal Imbalance and Chronic Disease Studies

  • Indian Journal of Endocrinology and Metabolism – Hormone Disorder Research

  • Statista – Hormonal Health and Lifestyle Trends India

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