Ideally, you should register for antenatal care as soon as you confirm pregnancy — typically between 6–10 weeks of gestation. Early registration allows us to establish your baseline health, confirm a viable intrauterine pregnancy on ultrasound, start folic acid and iron supplementation, screen for blood group and infectious diseases, and detect any risk factors that might require early intervention. Waiting until the second trimester means missing the critical first-trimester screening window for chromosomal abnormalities (NT scan at 11–14 weeks).

A normal (vaginal) delivery is always preferred when it is safe for both mother and baby — it has faster recovery, lower complication risk and is better for the newborn’s immunity and gut health (exposure to birth canal bacteria). A C-section (Caesarean) is recommended when vaginal delivery poses a risk — such as fetal distress, abnormal position (breech), placenta praevia, prior uterine surgery, failure to progress in labour, or maternal medical conditions. At Meds Hospital, the decision is made by the obstetrician based on clinical findings — never on scheduling convenience. We actively support vaginal delivery and maintain a responsible C-section rate.

PCOS cannot be “cured” in the traditional sense — it is a lifelong hormonal condition. However, its symptoms can be effectively managed, and most women with PCOS can conceive successfully with appropriate treatment. Lifestyle changes — weight management, regular exercise and a low-glycaemic diet — can significantly improve hormonal balance and restore regular ovulation in many women with PCOS. When lifestyle changes are insufficient, medications like Metformin and ovulation induction agents (Letrozole or Clomiphene) are highly effective. In cases where ovarian drilling or IUI is needed, success rates are very good. PCOS is not a sentence against motherhood — it is a manageable condition.

Laparoscopic myomectomy (fibroid removal) is safe and highly effective — comparable outcomes to open surgery with significantly less recovery time. Fibroids can recur after myomectomy because the underlying tendency to grow them remains. Recurrence rates are approximately 20–30% within 5 years, though not all recurrences require treatment. For women who have completed their family and have severe symptoms, hysterectomy (removal of the uterus) is the definitive cure. For women who wish to preserve fertility, myomectomy — even with the small risk of recurrence — is the right choice. Our gynaecologist will discuss your specific situation, fibroid characteristics and fertility plans to recommend the most appropriate approach.

Endometriosis occurs when tissue similar to the uterine lining grows outside the uterus — on the ovaries, fallopian tubes, bowel or bladder. It causes chronic pelvic pain, painful periods, painful intercourse and often contributes to infertility. The average time to diagnosis globally is 7–10 years — because the symptoms are often dismissed as “just bad periods,” and because the only definitive diagnosis is laparoscopy (a surgical procedure). At Meds Hospital, we take period pain seriously. If your symptoms suggest endometriosis, we proceed to diagnostic laparoscopy rather than continuing to manage symptoms with painkillers. Early surgical treatment of endometriosis both relieves pain and protects fertility.

The first gynaecological visit is recommended between ages 13–15 — primarily for education, menstrual health counselling and to establish a comfort level with gynaecological care. An internal examination is not performed at this age unless specifically indicated. Topics discussed include menstrual cycle regularity, nutrition, exercise, hygiene, HPV vaccination (ideally given before sexual debut, between ages 9–14), and questions your daughter may have about her body. Early gynaecological care builds a foundation of comfort with women’s health that pays dividends throughout life.

The standard recommendation is 3–6 IUI cycles before considering IVF, though this depends on the woman’s age, the underlying cause of infertility and how each cycle responds. For women above 35, or when there is a significant male factor (low sperm count or motility), IUI success rates are lower — and proceeding to IVF sooner is often recommended. For younger women with unexplained infertility or PCOS, IUI is a reasonable first-line treatment with cumulative pregnancy rates of 30–50% after 3–4 cycles. Our gynaecologist reviews your complete profile and recommends the most time-efficient and cost-effective path to pregnancy for your specific situation.

A Pap smear is a quick, simple procedure that takes about 5 minutes. A small brush is used to collect cells from the cervix — it may feel like mild pressure or brief discomfort, but it should not be painful. There is no preparation required beyond avoiding intercourse, douching or vaginal medications for 24 hours before. Frequency: every 3 years from age 21 for Pap smear alone; every 5 years from age 30 with combined Pap + HPV co-testing. Women who are sexually active and have never had a Pap smear should have one regardless of age. At Meds Hospital, Pap smears are performed by female staff in a completely private, comfortable setting.