Obstetrics and Gynaecology at PGH Hospital, West Delhi

It is generally advisable to arrange an antenatal consultation early after confirming pregnancy. The timing of the first visit and investigations depends on factors such as your health, previous pregnancies, symptoms and stage of pregnancy. Women with significant pain, bleeding or other concerning symptoms should seek medical assessment promptly.

A vaginal birth after caesarean (VBAC) may be an option for some women, but it is not suitable in every situation. Your previous surgical history, reason for the earlier caesarean, current pregnancy and other clinical factors need to be assessed before deciding on the safest mode of delivery.

Epidural anaesthesia can be used for labour pain relief when it is clinically appropriate and anaesthetic services are available. Whether an epidural is suitable depends on the mother's health, stage of labour and other clinical considerations. Discuss your preferences with your obstetrician and anaesthetist during pregnancy.

Surgery may be considered for conditions such as symptomatic fibroids, ovarian cysts, endometriosis, some forms of abnormal uterine bleeding and other structural or gynaecological problems. Surgery is not automatically required; the appropriate treatment depends on the diagnosis, symptoms and individual circumstances.

PCOS can be associated with irregular periods, symptoms related to higher androgen levels such as excess facial or body hair, acne, and difficulties with ovulation or conception. Not every woman has the same symptoms, and diagnosis requires appropriate clinical assessment rather than symptoms alone.

Yes. Depending on the symptoms and individual circumstances, endometriosis may be managed with pain relief, hormonal treatment and other medical approaches. Surgery may be considered when symptoms remain significant, medical treatment is unsuitable or there are specific clinical indications.

Consider a consultation if your periods become unusually heavy, irregular or painful, if bleeding occurs between periods or after sex, or if pelvic pain affects daily activities. New or persistent menstrual changes deserve assessment, particularly when accompanied by other symptoms.

The doctor will usually discuss your symptoms, menstrual and medical history and any previous investigations or treatment. An examination or tests may be recommended when appropriate. You should feel comfortable asking questions about the diagnosis, treatment choices and any investigations suggested.

Fertility assessment is individualised. Depending on the circumstances, it may include a review of menstrual and reproductive history, examination, blood tests, ultrasound and assessment of ovulation. Fertility evaluation may also involve assessment of the male partner where appropriate.

Cervical screening is designed to identify changes that may occur before symptoms develop. The appropriate screening method and interval depend on age, previous screening results, vaccination history and local clinical recommendations. Your doctor can advise which approach is appropriate for you.

Menopause and perimenopause can cause symptoms such as hot flushes, night sweats, sleep difficulties, mood changes, vaginal dryness and changes in menstrual patterns. Symptoms vary widely, and treatment options can be discussed when they interfere with everyday life.

No. PCOS management depends on the individual's symptoms, health goals and reproductive plans. Lifestyle measures may be an important part of care, while medicines may be considered for specific symptoms or fertility needs.

PGH Hospital has arrangements involving Ayushman Bharat, GIC and TPA panels. Coverage is not the same for every patient or treatment. Eligibility, authorisation and the amount covered depend on the applicable scheme or insurance policy and the treatment required. Patients should confirm their coverage with the hospital's TPA or billing team.