Empowering Girls – Fostering Healthy Conversations about Puberty

Empowering Girls - Fostering Healthy Conversations about Puberty

Author:   Dr. Tejinder Kaur

MBBS, Diploma in Hospital Administration, Diploma of National Board training, Fellowship in Reproductive Medicine

Consultant: Obstetrician & Gynaecologist at  Motherhood Hospital, Mohali

Empowering Girls – Fostering Healthy Conversations about Puberty:

Puberty, a critical phase in a girl’s life, signifies a transition not only in her physical form but also in her emotional and psychological realms. In the Indian context, this period is often shrouded in silence and unease, making it imperative for parents and educators to step in with guidance and openness. As per Author: Dr. Tejinder KaurMBBS, Diploma in Hospital Administration, Diploma of National Board training, Fellowship in Reproductive Medicine, Consultant: Obstetrician & Gynaecologist at  Motherhood Hospital, Mohali, by understanding the multifaceted nature of puberty, adults can play a pivotal role in easing the journey for young girls. This phase, marked by significant growth and challenges, calls for an informed and empathetic approach to help girls navigate these changes confidently and knowledgeably.

Importance of Fostering Open Conversations about Puberty

In many Indian households, the topic of puberty is treated as taboo, leaving young girls bewildered and apprehensive. To counter this, initiating healthy and open dialogues about the physical and emotional changes during puberty is essential. Such conversations not only demystify this natural process but also empower girls to articulate their feelings and seek necessary guidance. Embracing these discussions paves the way for a more informed, confident approach to the physical and emotional transformations during puberty, fostering a positive self-image and a sense of preparedness among young girls.

Creating a Supportive Environment

Encouraging Open Dialogue Starting conversations about puberty can be daunting, but it’s crucial in creating a supportive environment. Parents and educators should engage in open dialogue with girls, using simple, relatable language to explain the changes they will experience. It’s important to provide a safe space where girls feel comfortable asking questions and expressing their concerns. Creating such an environment requires patience, understanding, and reassurance, ensuring that young girls feel heard and supported.

Deepening Understanding Through Dialogue

Building on initial conversations, it’s essential to deepen understanding by discussing more specific aspects of puberty. Topics like menstrual health, emotional fluctuations, and body image should be introduced gradually and handled with sensitivity. Parents and educators can use resources like books or educational videos to aid these discussions. Ensuring that girls have access to accurate and comprehensive information is key to helping them navigate puberty with confidence and ease.

Understanding Emotional Well-being

Emotional well-being is a critical aspect of navigating puberty. Parents and educators should acknowledge and address the range of emotions that girls may experience during this time. Open conversations about feelings, mood swings, and self-esteem are important. Adults should offer a listening ear, provide comfort, and foster a positive self-image. Encouraging girls to express themselves and validating their emotions plays a significant role in their emotional development.

Fostering Emotional Resilience

In addition to understanding emotional well-being, fostering emotional resilience is vital. This involves teaching girls coping mechanisms for stress and anxiety, such as mindfulness or journaling. It also includes promoting a healthy lifestyle, including regular exercise and a balanced diet, which can have positive effects on emotional health. By equipping girls with the tools to manage their emotions effectively, parents and educators can help them develop resilience and a strong sense of self.

Educating on Physical and Emotional Changes

Explaining the Physical Changes Education about the physical aspects of puberty is essential for young girls. It involves explaining the development of secondary sexual characteristics like breast growth, menstrual health, and the appearance of pubic hair. In India, where cultural misconceptions often obscure these topics, providing clear, factual, and age-appropriate information is paramount. Such education helps demystify bodily changes and equips girls with the necessary knowledge to manage these changes. Parents and educators should approach this topic with sensitivity, using straightforward, non-alarming language, and progressively deepening the discussion as the child’s understanding grows.

Navigating Emotional Changes

Alongside physical development, puberty is characterized by a myriad of emotional changes. It’s vital for parents and educators to guide young girls through these emotional shifts, which can include mood swings, increased sensitivity, and self-consciousness about their changing bodies. Open discussions about these emotional experiences should be encouraged, emphasizing that these feelings are normal and part of growing up. Activities that promote self-esteem, such as arts, sports, or journaling, can be beneficial. A supportive approach in these conversations will aid young girls in developing a balanced and healthy emotional perspective during puberty.

Promoting Hygiene and Self-Care

Hygiene Practices During Puberty The importance of hygiene during puberty cannot be overstated, especially in the context of menstrual health. It’s crucial for young girls to understand the basics of menstrual hygiene, including the use of sanitary products and the importance of regular bathing. In India, where discussions about menstruation are often limited, clear and practical guidance is essential. This education should be imparted in a sensitive and straightforward manner, helping girls to manage their personal hygiene with confidence and independence.

Furthering Hygiene Education

Expanding on basic hygiene practices, it’s important to discuss broader aspects like the significance of cleanliness during menstruation, proper disposal of sanitary products, and maintaining general body hygiene. Addressing these topics helps dispel myths and misconceptions, providing young girls with a complete picture of hygiene management. This comprehensive approach not only fosters personal responsibility but also contributes to overall health and well-being.

Self-Care and Wellness

The transition through puberty is accompanied by an increased need for self-care, encompassing both physical and mental health. Encouraging a balanced diet, regular exercise, and adequate sleep is essential for physical development. Additionally, activities that support mental health, such as meditation, reading, or pursuing hobbies, play a vital role. These practices not only aid in physical growth but also help manage the stress and emotional fluctuations that often accompany puberty.

Promoting Holistic Wellness

Holistic wellness during puberty extends beyond physical health to include emotional and social well-being. Parents and educators should encourage practices that foster self-esteem and body positivity, helping girls to embrace their changing bodies. Discussions on the importance of a supportive social circle, engaging in community activities, and developing a healthy lifestyle contribute to a well-rounded approach to self-care. This holistic focus ensures that young girls are equipped to handle the challenges of puberty with resilience and positivity.

Fostering Peer Support and Community Involvement

Building a Supportive Peer Network Peer support plays a vital role during puberty, offering a sense of understanding and shared experience. Encouraging open discussions among peers helps young girls realize they are not alone in their experiences. Schools and communities in India can foster this support by organizing group activities or discussion forums, providing a platform for girls to connect and share. Such a network can alleviate the feeling of isolation and build a supportive community, making the journey through puberty less daunting.

Community and School Involvement

Schools and community organizations are instrumental in providing comprehensive puberty education and support. In India, where traditional norms may restrict these conversations, organized efforts by schools and communities can make a significant difference. Workshops, seminars, and resource distribution can provide girls and parents with much-needed information and guidance. This active involvement helps break down cultural barriers, allowing for a more open, informative approach to discussing puberty, thereby enhancing the overall support system for young girls.

Empowering Girls for the Future Navigating puberty is a significant milestone in a girl’s life, bringing physical, emotional, and psychological changes. By actively promoting open discussions and providing comprehensive education on these aspects, we empower young girls to embrace this journey with confidence and knowledge. Motherhood Hospitals plays a pivotal role in this endeavor, offering resources and expert guidance to ensure that every girl receives the support and understanding she needs. Their commitment to fostering healthy conversations about puberty exemplifies their dedication to the well-being of girls in India. Let’s join hands with institutions like Motherhood Hospitals to ensure a supportive, informed environment for every girl stepping into this transformative phase.

If you are on the verge of menopause or are going through menopause along with urinary symptoms, consult Dr Tejinder Kaur at the Motherhood Hospitals.

At Motherhood Hospitals, we have a team of experienced supers specialists backed by the latest infrastructure and facilities. We have the best gynecologist in Mohali. We are experts in handling complex deliveries, gynecological, and other surgeries including a range of laparoscopic surgeries.

Do make an appointment with the best woman’s care hospital in Mohali at a center closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue, and recommend the most appropriate treatment, enabling you to lead an active life.

If you wish to get in touch with Dr. Tejinder Kaur, please book your appointment here.

Menstrual Hygiene Management – Breaking Taboos and Empowering Women

Menstrual Hygiene Management - Breaking Taboos and Empowering Women

Author: Dr Monika Choudhary

MBBS, MS( Obs & Gynae)

Senior Consultant – Obstetrics and Gynaecology

Menstrual Hygiene Management – Breaking Taboos and Empowering Women:

Menstruation in India is deeply enmeshed in a cultural context, characterized by a mix of silence, stigma, and traditional practices. In many parts of the country, menstruation is not just a physiological phenomenon but a matter that influences social norms, religious practices, and even educational opportunities. According to Dr Monika Choudhary, MBBS, MS( Obs & Gynae), Senior Consultant – Obstetrics and Gynecology, Despite the advancements in healthcare and awareness, many women and girls in India still face challenges in managing their menstrual health due to lack of knowledge, access to sanitary products, and the persistence of age-old taboos. These societal norms often lead to misinformation and myths about menstruation, impacting the way it is perceived and managed. This scenario presents a paradoxical picture where, on one hand, there is increasing access to menstrual hygiene products, and on the other, persistent socio-cultural barriers that prevent open discussion and education about menstrual health.

Impact on Health and Social Life

The impact of these cultural and social norms is far-reaching, affecting not just the physical health of women but also their mental and social well-being. In many rural and even urban areas, menstruating women are often considered impure and are subjected to various restrictions. This not only perpetuates a sense of shame and embarrassment but also hinders their participation in day-to-day activities and decision-making processes. The lack of proper menstrual hygiene facilities in schools leads to higher absenteeism among girls, impacting their education and future prospects. Moreover, inadequate menstrual hygiene can lead to serious health issues, including reproductive tract infections. This complex web of challenges highlights the need for a comprehensive approach to menstrual hygiene management that not only addresses the physical needs but also tackles the socio-cultural barriers.

Importance of Menstrual Hygiene Management

Defining Menstrual Hygiene Management

Menstrual Hygiene Management (MHM) encompasses a range of practices and services that enable women and girls to use clean menstrual management materials, have access to facilities to change and dispose of these materials, and receive adequate information about menstruation and hygiene. It’s a holistic concept that includes not just the provision of menstrual products but also ensuring privacy, safety, and dignity during menstruation. MHM is essential for maintaining physical health, as it helps prevent infections and other health complications. However, its importance extends beyond health; it is a matter of human rights and gender equality. Effective MHM contributes to the empowerment of women and girls, enabling them to participate fully in education, work, and social life without the constraints and disruptions caused by menstruation.

The Role of Education and Social Change

Education plays a pivotal role in changing the narrative around menstruation. By integrating menstrual health education in schools and communities, we can dispel myths and misconceptions, fostering a more open and supportive environment for discussing menstrual health. This education should not be limited to girls but should also involve boys, men, and community leaders to change the broader societal attitudes towards menstruation. In addition, increasing the availability and affordability of menstrual hygiene products is crucial. This involves not only providing the products but also ensuring that they are suitable for different needs and preferences. Furthermore, initiatives that promote sustainable and environmentally friendly menstrual products can have a lasting impact on both health and the environment. The goal of MHM should be to create a society where menstruation is not a barrier but a natural aspect of life that is managed with dignity and without discrimination.

Understanding Menstrual Hygiene Management

Definition and Key Aspects

Menstrual Hygiene Management (MHM) refers to the practice of using clean menstrual management materials to absorb or collect menstrual blood, and having access to facilities to change and dispose of these materials. Key aspects of MHM include the availability of safe, affordable, and effective menstrual products; access to clean water and soap for hygiene purposes; and private, clean, and safe facilities for changing and disposing of menstrual materials. MHM also involves educating women and girls about the menstrual cycle and how to manage it with dignity. This education is crucial in dispelling myths and promoting healthy practices. Effective MHM is not just a health issue but a matter of gender equality and human rights, impacting women’s and girls’ education, health, and overall socio-economic status.

The Role of Education and Awareness

Education and awareness are pivotal in improving menstrual hygiene practices. In the Indian context, where menstruation is often a taboo subject, educating girls and women about menstrual health is essential for empowering them to make informed decisions about their bodies and health. Additionally, education should extend to boys, men, and community leaders to change the broader societal attitudes towards menstruation. Awareness campaigns can focus on the importance of menstrual hygiene, the challenges faced by women and girls, and the available solutions. Schools can play a significant role by incorporating menstrual health education into their curriculum, providing students with accurate information from an early age. Community-based programs can also help in reaching out to women and girls who are out of the school system, ensuring they too have access to menstrual health education.

Societal Challenges and Taboos

Cultural Attitudes and Misconceptions

In many parts of India, menstruation is surrounded by a myriad of cultural attitudes and misconceptions that significantly impact women’s lives. These taboos often portray menstruation as something impure or shameful, leading to restrictions on women’s activities during their periods. Women and girls are often excluded from social and religious events, and in some cases, even barred from entering certain parts of their homes. These practices not only reinforce the stigma around menstruation but also perpetuate gender inequality. The myths and misconceptions about menstruation are deeply rooted in cultural and religious beliefs, making them challenging to change. However, addressing these misconceptions is crucial for improving menstrual hygiene and women’s health.

Impact on Women’s Health and Education

The taboos and cultural practices surrounding menstruation have significant implications for women’s health and education. The lack of proper menstrual hygiene facilities and the stigma associated with menstruation often lead to higher rates of absenteeism among girls in schools. This impacts their educational attainment and future opportunities. Furthermore, inadequate menstrual hygiene practices can result in health issues like reproductive tract infections, which can have long-term consequences on women’s health. The lack of open dialogue and education about menstrual health exacerbates these issues, as many girls and women lack the knowledge and resources to manage their menstruation effectively and hygienically. Breaking these taboos and changing societal attitudes is therefore essential for improving both the health and educational outcomes for women and girls.

Sustainable and Affordable Menstrual Products

Types of Sustainable Products

Sustainable menstrual products are crucial for both environmental conservation and menstrual hygiene. In India, there is a growing awareness and availability of sustainable menstrual products such as menstrual cups, reusable cloth pads, and biodegradable sanitary napkins. These products offer eco-friendly alternatives to traditional disposable pads and tampons, which contribute to environmental pollution. Menstrual cups, made of medical-grade silicone, provide a long-lasting and cost-effective solution, while reusable cloth pads offer a comfortable and affordable option. Biodegradable pads, made from natural materials like bamboo fiber, are also gaining popularity. These sustainable products not only help in reducing the environmental impact but also offer women more choices in managing their menstrual health.

Accessibility and Affordability

Despite the availability of these sustainable products, their accessibility and affordability remain significant challenges, especially for women in rural and low-income urban areas. Many women and girls lack awareness of these products or face barriers in accessing them due to their cost and availability. To address this, it is essential to create awareness about these products and ensure they are affordable and accessible to all women, regardless of their socio-economic status. This can be achieved through government initiatives, NGO campaigns, and partnerships with private companies. Subsidizing the cost of these products, providing them in schools and community health centers, and conducting outreach and education programs can significantly increase their accessibility. Ensuring that every woman has access to affordable and sustainable menstrual products is a critical step towards improving menstrual hygiene and empowering women.

Role of Healthcare Systems

Healthcare Support and Facilities

The healthcare system plays a crucial role in menstrual hygiene management. In India, there is a need for more comprehensive healthcare support that includes not just the provision of menstrual products but also education, counseling, and treatment related to menstrual health. Healthcare facilities should be equipped to offer advice and support on menstrual hygiene, and healthcare workers should be trained to address menstrual health issues sensitively and effectively. This includes discussing safe and hygienic menstrual practices, providing information about different menstrual products, and addressing any health concerns related to menstruation. Additionally, healthcare facilities should have the necessary infrastructure, such as private and clean toilets, to support menstrual hygiene.

Initiatives and Programs

Several initiatives and programs in India aim to improve menstrual hygiene management. Government schemes like the Menstrual Hygiene Scheme and initiatives by various NGOs focus on providing sanitary napkins at subsidized rates, conducting awareness campaigns, and improving facilities in schools. These initiatives are crucial in reaching out to underprivileged sections of society and addressing the gaps in menstrual hygiene management. However, there is still a need for more comprehensive programs that not only focus on providing menstrual products but also address the cultural and educational aspects of menstrual hygiene. Collaborative efforts between the government, NGOs, healthcare providers, and communities can create a more holistic approach to improving menstrual hygiene management in India.

Empowering Women Through Menstrual Hygiene Education

Community Engagement and Education Programs

Community engagement and education are pivotal in empowering women through menstrual hygiene management. In India, where menstrual taboos are prevalent, community-based education programs can play a significant role in changing perceptions and practices. These programs should be designed to include not only women and girls but also men and boys, as changing the societal attitudes towards menstruation requires a collective effort. Effective programs can involve interactive workshops, awareness campaigns, and the involvement of local health workers and educators. Such initiatives can help in normalizing conversations about menstruation, educating the community about menstrual health, and advocating for the rights and needs of women and girls. Community engagement also opens avenues for addressing other related issues such as reproductive health, gender equality, and women’s rights, thereby fostering a more inclusive and supportive environment for women.

Breaking the Silence Around Menstruation

Breaking the silence around menstruation is a critical step towards empowering women and girls. This involves challenging the taboos and myths surrounding menstruation and promoting open and healthy discussions about menstrual health. Schools, colleges, workplaces, and community centers can be effective platforms for initiating these conversations. Incorporating menstrual health education into school curricula can ensure that young people receive accurate and timely information. Campaigns and media initiatives that portray menstruation in a positive light can also help in breaking down the stigma. By creating spaces where menstruation is discussed openly and without shame, we can empower women and girls to manage their menstruation with confidence and dignity.


The Way Forward
Addressing the challenges of menstrual hygiene management in India requires a multifaceted approach that combines education, access to affordable and sustainable menstrual products, healthcare support, and societal change. The key to progress lies in breaking the taboos and creating a culture where menstruation is not a barrier but a natural and respected part of life. This change is not only about improving women’s health but also about promoting gender equality and empowering women to fully participate in all aspects of society. As we move forward, it is crucial to continue advocating for better menstrual hygiene management, investing in education and infrastructure, and fostering community engagement to support this cause.

Whether it’s by educating oneself and others, supporting initiatives that aim to improve menstrual hygiene, or advocating for policy changes, every action counts. Motherhood Hospitals India encourages readers to join in this effort to break down taboos and empower women and girls across the nation. Together, we can create a future where menstrual hygiene management is a right, not a privilege.

Dr Monika Choudhary will respond to your query as soon as possible. For emergencies please call and reach Motherhood Hospital, Gurgaon.

At Motherhood Hospitals, we have a team of experienced supers specialists backed by the latest infrastructure and facilities. We have the best gynaecologist in Gurgaon . We are experts in handling complex deliveries, gynecological, and other surgeries including a range of laparoscopic surgeries. 

Do make an appointment with the best woman care hospital in Gurgaon  at a center closest to you. Please meet with our doctors who will carry out the required investigations, diagnose the issue, and recommend the most appropriate treatment, enabling you to lead an active life. 

If you wish to get in touch with Dr Monika Choudhary, please book your appointment here.

Tips to strengthen mind, body, and soul

Tips to strengthen mind, body, and soul

A holistic approach to well-being involves bringing these three aspects (mind, body & soul) of the self into balance to create harmony and health. As we become balanced and harmonious, the unavoidable pressures of life have less impact on us. We respond to situations more consciously, and our interactions with people & situations become more purposeful, calm, and relaxed. We feel union and harmony everywhere, whether it’s an office meeting, a small talk with our kids, or a social affair. Our outer world reflects the same perspective that we feel in our harmonious inner world. Live up, connect the elements of your existence, and find more meaning in life.

Get some fresh air

It’s difficult to find a place in the city where you can breathe fresh air. Because of that, never forget to use your vacation to give yourself the time to visit the countryside or any place close to nature. Surely, your body will thank you for the fresh air you’ll give it.

Energize morning routine

It’s been proven that at least 30 minutes of exercise every morning can improve your physical and mental health. If you can, start your day with jogging or exercise. Apart from that, also include a hearty meal in your morning routine to help you go through until lunchtime.


Find a warm and comfortable spot in your home or bedroom. Give yourself some quiet time. Make sure that there are no noisy people or cars around the time you meditate. Relax, breathe, and meditate.

Acknowledge your thoughts

If you have disturbing and sad thoughts, write them down and forget them. Keep a journal or diary with you all the time. Acknowledging those feelings, moods, and thoughts through writing can help you overcome them quickly and make your mind more resilient.

Stay away from the gadgets

According to research, staying on social media platforms for extended amounts of time has become one of the leading causes of stress and anxiety. While looking at beautiful pictures of successful people on the internet can be fun, it can cause you to look down on yourself and your life, which can lead to depression. Stop that, and free your soul and mind from the traffic that others on the internet desperately want you to see.


Never pass up the opportunity to travel. It’s beneficial for you. Traveling can give you an enlightening experience which can improve your body, mind, and soul’s alacrity. It can do that by forcing you out of your comfort zone, exposing you to other cultures, giving you new memorable experiences, and so on.


Give yourself time to relax. Permit it. In this modern day and age, it’s difficult for most people just to stop what they’re doing and relax. Most of them will say they must always work to survive. While your money can survive, surely you can’t. You don’t need to be against it.


You can do many things to strengthen your mind, body, and soul. While most of the things here are too obvious to do, many still need to follow any of the things listed here. Take these as a challenge and watch yourself improve in just a few weeks of discipline.

Signs Your Child Should See a Paediatric Urologist

Signs Your Child Should See a Paediatric Urologist

Author – Dr. Pawan Deep Singh

M.B.B.S, DCH, DNB Pediatrics, Consultant – Paediatrics & Neonatology

Signs Your Child Should See a Paediatric Urologist


As a parent, it could be difficult for you to know when your child’s bladder problems need attention. At times, you may not know if your child’s bedwetting is normal or highlighting other issues. According to Dr. Pawan Deep Singh, M.B.B.S, DCH, DNB Pediatrics, as a parent, you should consult the best paediatrician in Chandigarh preferably a paediatric urologist if you notice any change in the bladder patterns of your child.

What Does a Paediatric Urologist Do?

Paediatric urology is a different discipline from paediatrics. If you visit the best paediatricians in Chandigarh for consultation, they will provide treatment for many minor urological problems including urinary tract infections without fever, and so forth. You should, however, consult a paediatric urologist for ongoing, urgent, and non-routine urology issues involving your child’s kidney, ureters, bladder, urethra, testicles, and genitalia.

Signs Your Child Should See a Paediatric Urologist

You should visit the best paediatrician in Chandigarh for the following:

1. Bedwetting and Bladder Issues

Potty training of kids is not always easy. Sometimes you may not even know if your child has a medical problem or he is just a late bloomer. Bedwetting can occur because of urinary incontinence, stress, or a urinary tract infection. Of course, every child is different. As a general rule, however, if your child is not dry through the night by the age of six, you may have to consult a paediatric urologist.

2. Urinary Tract Infection

A urinary tract infection or UTI can affect even babies and children. It may also be common in children. You should, however, visit a paediatric urologist if your child has had multiple UTIs.

Dr Ashish Dharmik tells us that recurrent urinary tract infections may be a sign of anatomic abnormality leading to infections. Children having recurrent UTIs also have some type of abnormal voiding behaviours. Hence, it is important to identify such traits and get those treated.

3. Congenital Issues

A lot of children may have urological problems due to congenital issues. Paediatric urologists also perform surgery to treat a wide range of birth defects involving organs inside the body including kidney, bladder, or reproductive organs in both girls and boys. The primary goal of such surgeries is to let the child achieve or maintain a normal urologic function.

What are the Telltale Signs of Urologic Condition?

Your child may not be able to explain the cause of the pain to you. The telltale signs, however, can help you in discovering a urological condition. For instance, the most common sign of urological condition in children is bedwetting. Although your child has reached a certain age, he/she may not be able to control the urine. This can be a warning sign for you to visit a paediatric urologist. The other common symptoms include:

1. Pain while urinating.

2. Burning or stinging sensation when urinating.

3. Frequent urination.

4. An urgent need to urinate.

5. Foul smell in the urine.

6. Cloudy or bloody urine.

7. Pain in the lower back.

8. Pain around the bladder.

9. Fever.

If you notice any change in the regular urinating pattern of your child, visit a good paediatric urologist or Dr. Pawan Deep Singh at Motherhood Hospitals in Chandigarh.

Fibroids: Symptoms and Treatments 

Fibroids Symptoms and Treatment

AuthorDr Preety Aggarwal


Medical Director (Gurgaon)- Obstetrics and Gynaecology

Fibroids: Symptoms and Treatments 


Fibroids or Uterine fibroids refer to the abnormal growth in or on the uterus. These are non-cancerous tumours that might not even go unnoticed for several years. According to Dr Preety Aggarwal, MBBS, DGO, DNB, Medical Director (Gurgaon)- Obstetrics and Gynaecology, not all fibroids show symptoms, but when they do, it may lead to heavy menstrual bleeding, frequent urination, and pain during sex. Moreover, small fibroids do not require any treatment, the larger ones, however, need to be treated with medications or surgery.  

What are Uterine Fibroids? 

Uterine fibroids are abnormal growths of muscle and tissues in or on the wall of your uterus. These can either grow as a single nodule or in a cluster. According to the best gynaecologist & obstetrician doctors in Gurgaon, cluster fibroids can range from 1 millimetre to more than 20 centimetres in diameter. Although non-cancerous, these can show severe symptoms in some patients.  

What are the Types of Uterine Fibroids? 

The type of uterine fibroid depends on where they are located and attached. The common types are: 

1. Intramural fibroids: These grow on the muscular wall of the uterus. 

2. Submucosal fibroids: These grow under the inner lining of the uterus. 

3. Subserosal fibroids: These grow under the lining of the outer surface of the uterus. 

4. Pedunculated fibroids: These grow like mushrooms on your uterus

What are the Symptoms of Uterine Fibroids? 

As mentioned earlier, fibroids do not cause any symptoms and do not even require any treatment. Larger fibroids, however, cause a variety of symptoms as follows: 

1. Excessive bleeding during periods. 

2. Bleeding between your periods. 

3. A feeling of fullness in the abdomen or bloating. 

4. Frequent urination. 

5. Pain during sex. 

6. Constipation. 

7. Chronic vaginal discharge. 

8. Low back pain. 

9. Increased abdominal distention. 

What are the Causes of Uterine Fibroids? 

 The exact cause of uterine fibroids is not known, the best gynaecologist & obstetrician doctors in Gurgaon, believe that hormones like oestrogen and progesterone play a vital role. Fibroids develop when these hormone levels are higher. Apart from this, some risk factors also increase your chances of developing fibroids: 

1 .Obesity and high body mass index (BMI). 

2. A family history of fibroids. 

3. Early onset of menstruation. 

4. Late menopause. 

How are Uterine Fibroids Treated? 

The treatment of uterine fibroids depends on the size, number, location, and symptoms of fibroids. If you are not experiencing any symptoms, you may not need any treatment. Small fibroids, usually, are not treated. The larger ones, however, may require the following treatments: 

1. Over-the-counter medications. 

2. Iron supplements. 

3. Birth control pills. 

4. Oral therapies. 

5. Fibroid surgery. 

Fibroid surgery or myomectomy is a procedure to remove fibroids. The procedure is performed in the following ways: 

1Hysteroscopy: In this procedure, the best gynaecologist & obstetrician doctors in Gurgaon insert a scope (a thin, flexible tube) into your vagina to reach the uterus and the fibroids are removed. 

2. Laparoscopy: In this procedure, the doctor inserts a laparoscope (a thin, flexible tube attached to the camera and tiny surgical instruments) through a small incision in your abdomen. 

3. Laparotomy: In this procedure, the doctor creates a large incision on your abdomen to remove fibroids with one cut. 

 Fibroid treatment depends largely on the medical condition of the patient. Some patients may not require any treatment, the others may need immediate medical attention. If you feel sudden pain and discomfort along with heavy menstrual bleeding, visit Dr Preety Aggarwal at the Motherhood Hospitals for immediate medical attention. 

What Causes Abnormal Menstrual Bleeding?

What Causes Abnormal Menstrual Bleeding

AuthorDr Preety Aggarwal


Medical Director (Gurgaon)- Obstetrics and Gynaecology.

What Causes Abnormal Menstrual Bleeding

Periods are considered abnormal if they last for more than 7 days, have less than 24 days of cycle, or more than 35 days. Moreover, heavy bleeding is also considered abnormal. According to Dr Preety Aggarwal, MBBS, DGO, DNB, Medical Director (Gurgaon)- Obstetrics and Gynaecology menstrual bleeding is considered heavy if you have to change tampons or pads more than every two hours, or if you are passing clots larger than 1 inch. In such cases, you should visit the best gynaecologist & obstetrician doctors in Gurgaon as early as possible.

What is Abnormal Menstrual Bleeding? 

Most women experience menstrual periods lasting for four to seven days. Your menstrual cycle usually ranges from 21 days to 35 days; with an average cycle length of 29 days. A lot of factors can cause irregular periods including stress, other health conditions, medications, and so forth. 

How to Identify Irregular Periods? 

Your period will be considered abnormal or irregular by the best gynaecologist & obstetrician doctors in Gurgaon if it varies from the normal cycle. Your periods will be considered abnormal in the following cases:

  1. Periods occurring fewer than 21 days or more than 35 days apart. 
  2. Missed three or more periods in a row. 
  3. Menstrual flow that is much heavier or lighter than usual. 
  4. Periods that last more than seven days. 
  5. The length of time between cycles varies by more than nine days.  
  6. Periods are accompanied by severe pain, cramping, nausea, or vomiting. 
  7. Bleeding or spotting between periods, after menopause, or after intercourse. 
  8. Using more than one tampon or pad in an hour.

What are the Conditions Related to Irregular Periods?

Irregular periods are categorized as follows based on your medical condition:

  1. Amenorrhea: A condition where your periods have stopped suddenly or absence of periods for 90 days or more. 
  2. Oligomenorrhea: A condition where periods occur infrequently. 
  3. Dysmenorrhea: A condition with painful periods and severe cramps. 
  4. Abnormal uterine bleeding: Abnormal bleeding between monthly periods.

What are the Causes of Irregular Periods?

According to the best gynaecologist & obstetrician doctors in Gurgaon, a variety of factors can contribute to irregular periods, such as:

  1. Endometriosis: It is a condition when endometrial tissue grows outside of your uterus. It may lead to abnormal bleeding, cramps, and severe pain. 
  2. Pelvic inflammatory disease: This is a bacterial infection caused by a sexually transmitted infection. It may also cause heavy vaginal discharge, irregular periods, and pelvic pain. 
  3. Polycystic ovary syndrome (PCOS): The higher levels of a hormone called androgen lead to PCOS. This also causes irregular periods. 
  4. Bleeding disorders: You may also have heavy menstrual bleeding in between periods if you have a bleeding disorder.

Apart from this, any kind of disruption or change in your daily routine can also impact your menstrual cycle. This includes:

  1. Stress. 
  2. Sudden weight loss or weight gain. 
  3. Exercise routine resulting in very low body fat. 
  4. Viruses or other illnesses.

The other causes of abnormal bleeding include:

  1. Birth control pills: Certain birth control pills contain a variety of hormones. Going on or off on birth control pills can also affect menstruation. 
  2. Medications: Certain medications including steroids or anticoagulant drugs. 
  3. Ectopic pregnancy: Fertilized egg implants outside your uterus. 
  4. Surgery: Any kind of surgery in your uterus, ovaries, or fallopian tubes. 

Abnormal menstrual bleeding is a combination of different factors put together. The best way to avoid this is by following a healthy lifestyle, taking rest, and avoiding birth control pills. You can also consult Dr Preety Aggarwal at the Motherhood Hospitals for any issues.

PCOS: 5 Lifestyle Strategies

Polycystic Ovary Syndrome

AuthorDr Preety Aggarwal,


Medical Director (Gurgaon)- Obstetrics and Gynaecology

Navigating Polycystic Ovary Syndrome (PCOS): 5 Lifestyle Strategies   


Polycystic ovary syndrome (PCOS) is a hormonal disorder affecting approximately 10% of women around the globe. Women with PCOS generally experience infrequent menstrual periods, infertility due to lack of ovulation, increased hair growth, weight gain, and acne. According to Dr Preety Aggarwal, MBBS, DGO, DNG, Medical Director (Gurgaon)- Obstetrics and Gynaecology, PCOS is one of the prominent reasons for infertility in women. If you are diagnosed with PCOS, the best gynecologist doctor in Gurgaon will create a treatment plan to manage PCOS with both medications and lifestyle changes. 

5 Lifestyle Strategies to Navigate Through PCOS 

PCOS is a lifestyle disorder that can be managed by tweaking your daily lifestyle. Here are the following lifestyle strategies that you can inculcate in your routine: 

1. Maintain a Healthy Weight 

Women with PCOS are prone to type 2 diabetes due to insulin resistance. Weight loss can lower insulin levels, androgen levels and restore ovulation. The best gynecologist in Gurgaon for normal delivery recommends cutting back on processed foods and formulating a sustainable weight loss plan. The doctors recommend a low-calorie diet combined with exercise. Even a 5-10% reduction in weight can result in improved symptoms. 

2. Increase Exercise 

Moderate exercise (up to 1 hour per day) helps in lowering blood sugar levels. With PCOS, you should target to increase your physical activity to prevent insulin resistance. To avoid boredom, you can include different workouts in your exercise routine including yoga, Pilates, or gym. 

3. Follow a Low Carb and High Fibre Diet 

 A high carbohydrate diet can make your insulin levels shoot up. Hence, women with PCOS should not have more than 24 grams of added sugar per day. Instead of a high carbohydrate diet, switch your food choices with complex carbohydrates including whole grains, vegetables, quinoa, and whole wheat pasta. 

4. Monitor Blood Sugar Levels 

One of the symptoms of PCOS includes problems responding to insulin which is called insulin resistance. Insulin resistance does not allow your body to respond to insulin and results in high blood sugar and low energy. Eventually, this causes weight gain and obesity. Moreover, a high blood sugar level also increases the risk of type 2 diabetes.  

Women with PCOS, hence, need to monitor their blood glucose levels especially if they have type 2 diabetes. If you do not yet have diabetes, visit the best gynecologist in Gurgaon for a blood glucose test.  The doctor can help you keep a check on the levels and monitor your risks of developing diabetes. 

5. High Protein Intake 

Protein is known to help manage weight. Adding clean protein to your diet keeps your weight under check and also provides your body with the required energy and strength. On average, you should aim to consume at least 0.8 grams of protein per kg of your body weight. For instance, if you weigh 60 kg, you should at least have 48 grams of protein daily. 

PCOS is a disorder that can be greatly managed by lifestyle changes. You need to adopt a clean and holistic lifestyle. This will improve both your physical and mental well-being. You can also try breathing techniques such as pranayama to manage stress as stress is also known to trigger PCOS. For expert guidance and an accurate treatment plan, consult Dr. Preety Aggarwal at the Motherhood Hospitals

How Does an Ovulation Calculator Work?

Tracking fertility window

Author: Dr Ekawali Gupta MBBS, MS Degree in OBG from IGMC (Shimla)
Consultant: Obstetrician and Gynecology at Motherhood Hospital Mohali

An ovulation calculator can estimate when ovulation is most likely to occur based on the normal length of a woman’s menstrual cycle. 

Here’s a lowdown of how ovulation calculator works:

1. The day before a woman’s subsequent period starts is the last day of her menstrual cycle, which is also known as day one. Ovulation, also known as the release of an egg from the ovaries, often occurs in the middle of the cycle. However, the exact day may vary significantly from woman to woman and even from cycle to cycle. This unpredictability is a result of a variety of factors, including hormonal fluctuations, lifestyle decisions, and underlying medical conditions.

2. The fertile window, or range of days when ovulation is most likely to occur, is predicted by the ovulation calculator using the duration of the menstrual cycle. This window often extends for a few days both before and after the anticipated ovulation day. This is a crucial time for women who are trying to get pregnant since this is when the odds of conception are at their maximum.

3. The menstrual cycle is governed by a complex interplay of hormones that governs the development and release of the egg as well as the uterus’ preparation for a prospective pregnancy. The endometrium, or uterine lining, is shed as a result of menstruation during the menstrual phase, which marks the beginning of the cycle. The next stage is the follicular phase, when the follicle-stimulating hormone (FSH) promotes the growth of many follicles in the ovaries. These follicles are each home to an immature egg.

4. One follicle often becomes dominant and becomes larger than the others as the follicular phase develops, typically under the influence of FSH and oestrogen. The remaining follicles regress and finally fall out. The dominant follicle keeps expanding and developing as it gets ready to deliver its egg during ovulation.

5. A spike in the hormone luteinizing hormone (LH), which is a 28-day cycle’s trigger hormone, causes ovulation to happen around day 14 of the cycle. The dominant follicle ruptures as a result of the LH surge, releasing its egg, which subsequently passes via the fallopian tube. Here, if sexual activity occurred during the fertile window, it may be fertilised by sperm.

6. The egg breaks down and is expelled with the uterine lining during the subsequent menstrual cycle if fertilisation does not take place. The cycle then restarts as fresh follicles in the ovaries grow and mature.

7. An ovulation calculator uses this information about the hormonal regulation of the menstrual cycle to predict when the LH surge and ovulation are most likely to occur. This is done by subtracting 14 days from the total length of your menstrual cycle, which corresponds to the typical duration of the luteal phase, or the time between ovulation and the start of the subsequent period. The calculator will forecast that ovulation will take place on day 14 if your cycle lasts 28 days. It will forecast ovulation on day 16 if your cycle lasts 30 days.

8. Ovulation calculators can be helpful in estimating when ovulation is likely to happen, but it’s crucial to remember that they are not always correct. Many things, such as stress, sickness, and changes in habit, might affect when an egg will hatch. Therefore, rather than making a firm forecast, ovulation calculators should be used as a suggestion. Ovulation predictor kits, keeping track of basal body temperature, or keeping an eye on changes in cervical mucus can all be utilised in addition to an ovulation calculator for a more precise prediction of ovulation.

Motherhood Hospitals has a team of experienced supers specialists backed by the latest infrastructure and facilities. We have the best gynaecologist in Mohali. We are experts in handling complex deliveries, gynaecological, and other surgeries, including various laparoscopic surgeries

Do make an appointment with the best maternity hospital in Mohali at a centre closest to you. Meet with our doctors, who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life.

If you wish to get in touch with Dr Ekawali Gupta , please book your appointment here.

Handling Depression And Anxiety During Menstruation 

Author: Dr. Shweta Nayak MBBS, DNB(OBG), MNAMS, CCGDM, KISAR Fellowship in Infertility, Fellowship in Basic Ultrasound
Consultant:  Obstetrician & Gynaecologist at Motherhood Hospital Mysore

Most people who menstruate will experience some symptoms of Premenstrual Syndrome (PMS). Periods can cause plenty of uncomfortable symptoms. These symptoms vary from person to person, but they often extend beyond physical discomforts, like cramps, fatigue, and headaches.

Depression and other mood changes often show up in the days before your period starts, but they don’t automatically disappear once it begins. They can linger for a few days, if not longer. Some people also experience depression after their period ends.

After ovulation, which occurs midcycle, the levels of the female sex hormones estrogen and progesterone begin to fall. Rising and falling levels of these hormones can affect brain chemicals called neurotransmitters. Serotonin and dopamine are examples of neurotransmitters which are both chemicals that influence mood, sleep, and motivation.

Low levels of serotonin and dopamine can cause the following symptoms, which are common with PMS:

  • Sadness
  • Anxiety
  • Irritability
  • Sleep problems
  • Food cravings

When the levels of estrogen and progesterone begin to rise again a few days after the onset of a period, these symptoms often go away.
Track Your Symptoms 
Keep track of your symptoms throughout the phases of your menstrual cycle. This may help you determine whether your symptoms of depression are connected to your cycle. Having a detailed log of symptoms from your last few menstrual cycles can also come in handy when you want to discuss depression before and during periods with your healthcare provider. Thorough documentation of your symptoms may make it easier to explain to your healthcare provider what you’re experiencing.
Vitamins & Supplements
Some supplements may help relieve symptoms of depression before and during periods. It was found that a calcium supplement may reduce PMS-related tiredness, appetite changes, and depression. Great sources of calcium include milk, cheese, yoghurt, fortified cereals, orange juice, and leafy green vegetables. A daily calcium supplement is another way to get enough calcium. 
Lifestyle Changes 
You can make the following lifestyle changes to relieve the symptoms of depression before and during periods.
Try to be physically active for a minimum of 30 minutes most days of the week. Even going for a daily walk through your neighbourhood might improve your symptoms of fatigue, difficulty concentrating, and depression with your period. 
Try to resist the cravings that often accompany premenstrual syndrome. For some people, eating excessive sugar, salt, and fat can have a negative impact on mood. You don’t have to avoid these foods completely, but strike a balance with vegetables, whole grains, and fruits. Avoiding alcohol, stopping smoking, and cutting back on caffeine may also help relieve symptoms of depression with periods and before it.
Sleep for at least seven to eight hours per night, especially a week or two before your period. Not having enough sleep may make your depression worse during your period. 
Unmanaged stress may worsen symptoms of depression during periods. Use relaxation techniques like meditation, yoga, mindfulness, and deep breathing exercises to calm your body and mind. Avoid emotional and stressful triggers whenever possible. Symptoms of depression before and during periods can often be managed with lifestyle changes and  antidepressants. 

At Motherhood Hospitals we have a team of experienced supers specialists backed by the latest infrastructure and facilities. We have the best gynaecologist in Mysore. We are experts in handling complex deliveries, gynaecological, and other surgeries, including various laparoscopic surgeries. 

Do make an appointment with the best womancare hospital in Mysuru at a centre closest to you. Meet with our doctors, who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life. 

If you wish to get in touch with Dr. Shweta Nayak, please book your appointment here.

All About Polycystic Ovary Syndrome (PCOS)

Author: Dr. Sharvari Mundhe MBBS, MS,DNB, FRM,DRM
Consultant:  Gynaecologist and fertility Specialist at Motherhood Hospital Sarjapur 


Polycystic Ovary Syndrome is a common metabolic condition in women. Some women struggle to get pregnant and are at high risk of developing certain complications during pregnancy. However, by managing the symptoms, many women with PCOS can get pregnant and have a healthy baby. PCOS in pregnancy is a condition where ovaries produce higher levels of androgens (male hormones). This can affect women’s menstrual cycle, fertility, and appearance. Symptoms include:

  • Cysts in ovaries
  • Infertility
  • Weight gain
  • Insulin resistance

Diagnosis It often takes a while for women with PCOS to get a firm diagnosis, as the condition can mimic other problems. Sometimes, women having trouble getting pregnant find that they have PCOS. If a woman faces symptoms of PCOS, it is important that she sees a gynaecologist to find the cause of the symptoms. With early diagnosis, the symptoms can be treated early. This reduces the risk of complications, if the woman decides to get pregnant.

At her appointment, the important things to do are:

  • Talk to her about the condition and examine her 
  • Suggest a blood test in order to check for male hormones 
  • Arrange ultrasound scans to look for cysts in the ovaries

PCOS and Infertility

If a woman has PCOS, she might also struggle to get pregnant. This is because of male hormones, which prevent the release of eggs, called ‘ovulation’. Losing as little as 5% of excess weight can help women ovulate better and lessen other effects of PCOS. Woman can increase the chances of getting pregnant by:

  • Healthy diet
  • Regular exercise
  • Maintaining a healthy body weight
  • Monitoring the ovulation and timing sexual intercourse around ovulation

If the woman has made some changes and that still hasn’t worked, we might suggest her to go for fertility tests and medications to help her ovulate. Another option is IVF, which offers the best chance of ovulation. However, we understand this can be expensive and is usually considered when all options have been unsuccessful. Fortunately, with lifestyle changes or infertility treatment, a majority of women get pregnant.

PCOS and Pregnancy

Having PCOS increases some complications during pregnancy like:

  • Miscarriage 
  • High BP induced by pregnancy 
  • Premature birth 
  • Gestational diabetes 
  • Higher likelihood of needing a C-section delivery because babies might be larger than expected, in case of gestational diabetes

The risks of these complications can be reduced by monitoring PCOS symptoms, taking care of diet, and doing exercises during pregnancy.

Did You Know?

1.The first test-tube baby was born to Louise Joy Brown on July 25, 1978, in Oldham, England.
2. Tobacco use among younger females in developing countries is rising rapidly. Women generally have less success in quitting the habit and have more relapses than men.
3. Women are twice as likely as men to get rheumatoid arthritis, migraine headaches, and irritable bowel syndrome.
4. The cellular differences between men and women may influence the amount and type of medicine needed to treat a disease.
5. During pregnancy, the uterus grows from the size of an orange to the size of a watermelon in 9 months.
6. Female muscles and tendons contain more elastin, the protein which gives their muscles, organs, and skin the ability to stretch. That’s how women have great flexibility overall.

At Motherhood Hospitals we have a team of experienced supers specialists backed by the latest infrastructure and facilities. We have the best gynaecologist in Sarjapur, Bangalore. We are experts in handling complex deliveries, gynaecological, and other surgeries, including various laparoscopic surgeries. 

Do make an appointment with the best maternity hospital in Sarjapur, Bangalore at a centre closest to you. Meet with our doctors, who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life. 

If you wish to get in touch with Dr.Sharvari Mundhe, please book your appointment here.