Top 10 Gynaecological Issues Every Woman Should Know About

January 8, 2026

Men and women may have similar health issues, for instance, cancer, heart disease and diabetes. But some health issues affect only women—especially those related to reproductive health—and come with unique risks. Apart from affecting obvious areas like pregnancy, they may face long-term complications from menopause and untreated health issues. However, a lack of awareness and stigma prevent women from asking for medical help. This could delay diagnosis and treatment, leading to complications that can be prevented. Here, learn about the top 10 gynaecological issues, symptoms, causes, complications and when to consult a doctor. 

Menstrual Disorders

It is a set of problems associated with a woman’s menstrual cycle. The problems with the menstrual cycle can take many forms, which include

  • Heavy menstrual bleeding (Menorrhagia)
  • Absent periods (Amenorrhea)
  • Irregular periods
  • Painful periods (dysmenorrhea)
  • Perimenopause and menopause

Causes

  • Hormonal imbalance
  • Uterine fibroids
  • Endometriosis
  • Ovarian cysts
  • Pelvic inflammatory diseases (PID)
  • Uterine polyps
  • Medications and contraceptives
  • Thyroid issues

Complications

  • Anaemia
  • Osteoporosis
  • Fertility issues

When to Consult a Doctor

  • Painful periods that affect everyday life
  • Bleeding between periods
  • Absence of a period

Polycystic Ovary Syndrome (PCOS)

PCOS is a condition caused by hormonal imbalance when the ovaries produce excess androgens (male hormones).

Symptoms

  • Irregular periods
  • Excess facial hair growth
  • Acne
  • Obesity
  • Hair thinning
  • Fertility issues
  • Anxiety
  • Depression
  • Sleep disorders

Risks

  • High blood pressure
  • Diabetes
  • Cardiovascular disease
  • Endometrial cancer

Diagnosis & Treatment

PCOS should be diagnosed and treated as it affects hormonal balance, physical, metabolic and emotional health. Blood tests or an ultrasound help diagnose the condition. 

Treatment

  • Lifestyle changes
  • Medications

Endometriosis

Endometriosis is a condition in which tissue similar to the uterine lining grows outside the uterus, causing painful symptoms that affect the menstrual cycle and daily life. 

Symptoms

  • Excruciating menstrual cramps
  • Heavy bleeding or spotting between periods
  • Pain during intercourse
  • Pain when urinating or passing stools
  • Bloating, constipation and diarrhoea
  • Fertility issues

Causes

The exact cause is unknown, but in endometriosis, tissue similar to the uterine lining grows outside the uterus.

Risks

  • Chronic pain that disrupts daily life
  • Fertility issues
  • Bladder or bowel problems
  • Chest pain
  • Shortness of breath

Diagnosis

The doctor will conduct a pelvic exam and order an ultrasound. A definitive diagnosis can be made with a laparoscopy. 

Treatment

  • Pain relievers 
  • Following endometriosis health tips
  • Hormone therapy
  • Surgical removal of endometrial tissue
  • Fertility treatment
  • Hysterectomy with removal of ovaries

Uterine Fibroids

These are growths in or on the uterine walls and are composed of tissue and muscle. It is common among women over 30.  

Symptoms

  • Painful periods
  • Heavy bleeding
  • Frequent or longer periods
  • Urination trouble
  • Frequent urination
  • Abdominal or lower back pain

Complications

  • Unmanageable pain
  • Abdominal or pelvic swelling
  • Anemia
  • Fertility issues in rare cases

Treatment

  • Medications
  • Laparoscopy, hysteroscopy or other minimally invasive procedures
  • Hysterectomy surgery

Prevention

Fibroids cannot be prevented, but you can reduce your risk by maintaining a healthy weight and getting regular checkups. 

Pelvic Inflammatory Disease (PID)

PID is an infection in a woman’s reproductive organs.

Causes

  • Gonorrhea
  • Chlamydia
  • STI bacterial infections
  • Pelvic surgery
  • Miscarriage
  • Childbirth
  • IUD insertion

Symptoms

  • Lower abdominal or pelvic pain
  • Abnormal vaginal discharge (yellow or green) with a foul odour
  • Chills and fever
  • Pain during sexual intercourse
  • Burning sensation during urination
  • Irregular periods
  • Cramping or spotting throughout the month

Complications

  • Chronic pelvic pain
  • Ectopic pregnancy
  • Fertility issues
  • Tubo-ovarian abscess

Prevention

  • Practice safe sex
  • Use barriers like a condom to reduce risk
  • Get tested regularly 
  • Avoid douching

Urgent Care

PID is an infection that can lead to serious complications like fertility issues, chronic pain and ectopic pregnancy if left untreated. 

Infertility

It is a reproductive health condition in which you’re unable to conceive after trying for more than a year.

Causes

  • Age-related decline in fertility (more significant after 35-40)
  • Eating disorders
  • STIs like pelvic inflammatory disorders
  • Endometriosis
  • PCOS
  • Fibroids
  • Obesity
  • Hormonal imbalance
  • Cancer treatment
  • Chronic conditions like diabetes
  • Thyroid issues
  • Reproductive system issues

Treatment

  • Lifestyle changes 
  • Medications to stimulate ovulation 
  • Surgery to remove scar tissue, fibroids, polyps and a blocked fallopian tube

Vaginal Infections

Vaginal infections are a set of conditions that irritate or inflame the vagina. The most common types are yeast infection, bacterial vaginosis, trichomoniasis, atrophic vaginitis and non-infectious vaginitis. 

Symptoms

  • Changes in vaginal discharge (colour, texture or smell)
  • Vaginal burning, itching or irritation
  • Pain during urination
  • Spotting or light bleeding even when not on your period

Causes

  • Microbial imbalance due to antibiotics, diabetes, or immuno suppressants
  • Sexually transmitted infections
  • Poor hygiene
  • Allergic reactions to chemicals in hygiene products
  • Hormonal imbalances

Complications

Women with this condition are at risk of sexually transmitted infections due to inflammation caused by vaginitis. 

Prevention

  • Avoid hot tubs, whirlpool spas and baths
  • Avoid irritants like scented pads, soaps or tampons
  • Avoid douching
  • Follow good hygiene
  • Wear cotton underwear
  • Timely treatment of infections

Ovarian Cysts

Ovarian cysts are growth that forms in or on the ovaries. Functional cysts are common, small, harmless, cause no discomfort and require no treatment. However, some cysts are large and rupture, causing severe symptoms.

Symptoms

  • Pelvic pain
  • Dull back pain
  • Bloating in the lower belly
  • Pain during intercourse
  • Irregular periods
  • Painful periods
  • Trouble urinating and passing stool

When to Consult a Doctor

  • Suddenly, intense pelvic or abdominal pain
  • Pain, along with vomiting or fever
  • Signs of shock, including weakness, rapid breathing, cold skin, and lightheadedness. 

Diagnosis

  • Pelvic exam
  • Ultrasound
  • Laparoscopy 

Treatment

  • Close monitoring
  • Medications
  • Ovarian cyst surgery

Book an online appointment with Dr. Ekta Singh for Pregnancy & Gynecology related issues.

Urinary Incontinence

Urinary incontinence is the loss of bladder control. Types of incontinence are- 

  • Stress incontinence
  • Urge incontinence
  • Overflow incontinence
  • Mixed incontinence

Causes

  • Urinary tract infections
  • Pregnancy or delivery
  • Medications like antidepressants and diuretics
  • Constipation
  • Alcohol or caffeine 
  • Diabetes
  • Stroke
  • Menopause
  • Overactive bladder
  • Constipation

Symptoms

  • Frequent urination
  • Feeling the urge to urinate, but only a little comes out.
  • Bed wetting
  • Leaking urine while laughing, coughing or bending
  • Waking up more than twice at night to urinate.

Treatment & Management

  • Medications
  • Physical therapy
  • Surgery
  • Avoid acidic foods, alcohol or caffeine
  • Practice pelvic floor exercises
  • Maintain a healthy weight
  • Consuming a healthy diet to prevent constipation
  • Quit smoking

Urinary incontinence can make you self-conscious and affect your mental well-being. Consult a doctor for diagnosis and treatment, as it is treatable. 

Menopause-Related Issues

Menopause is the natural cessation of menstrual periods for 12 consecutive months, marking the end of the reproductive years. It is a natural ageing process that needs care and support, and not silence.

Symptoms

  • Irregular periods
  • Heavy or lighter than usual periods
  • Night sweats
  • Hot flashes
  • Mood changes
  • Vaginal dryness
  • Insomnia
  • Racing heart/Palpitations
  • Breast tenderness
  • Brain fog
  • Depression

Complications

  • Heart and blood vessel diseases
  • Osteoporosis
  • Urinary incontinence
  • Weight gain

Supportive care

  • Hormonal therapy
  • Antidepressants 

Preventive Strategies 

  • Regular gynaecological checkups
  • Regular HPV screening and Pap smear
  • Healthy lifestyle
  • Managing stress 
  • Education and awareness

Conclusion

Women themselves often overlook their health, yet it is critical to their own and their families' well-being. Understanding common gynaecological issues and being aware of the symptoms helps in early diagnosis and treatment. If you experience unusual symptoms, consult a gynaecologist and get them treated to lead a pain-free and more comfortable life. 

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Frequently Asked Questions

What are the most common gynaecological problems?

Common gynaecological problems include menstrual disorders, fertility issues, PCOS, and uterine fibroids.

How can women maintain good gynaecological health?

Good gynaecological health can be achieved through regular checkups, a healthy lifestyle, stress management, and awareness of common reproductive issues and symptoms.

What are the early signs of gynaecological problems?

Early signs of gynaecological problems include itching of the vagina, abnormal vaginal discharge, irregular periods, and pelvic pain.

Is it normal to have irregular periods occasionally?

Yes, it is normal to have occasional irregular periods. However, when these continue for several months, it is wise to consult a healthcare provider.

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