Many women visit their gynaecologist for routine check-ups, contraception advice, or specific health concerns. But in the flurry of quick appointments and discomfort around sensitive topics, important questions often go unasked. Your gynaecologist is your best source for reliable, confidential advice about your reproductive and sexual health, and no question is ever too small or too "awkward." Here are five vital topics every woman should bring up during her visit, but often doesn't.1. What's normal when it comes to my period?It's tempting to think that painful cramps, heavy bleeding, or irregular cycles are normal bodily experiences to "deal with." There are certainly some menstrual symptoms that can be considered normal. A change in the amount of flow, duration, timing, and symptoms before or during your period such as a greater than normal level of fatigue or mood swings, could be an indicator that you have an underlying condition such as PCOS, fibroids, or endometriosis. If you feel like your period is disrupting your daily living, or that your period or symptoms feel "off," don't hesitate to ask! Your gynaecologist can help you distinguish what's normal and what requires further investigation.2. Is my vaginal discharge healthy?

Despite being a common and natural and normal part of the reproductive cycle, many women feel uncomfortable discussing vaginal discharge. The color, texture, and odor of the discharge can all provide clues ranging from ovulation to infection. A sudden change, particularly with itching, irritation, or odor, is often a sign of a yeast infection or bacterial vaginosis. Rather than searching the internet or buying over-the-counter products, be direct with your doctor to clarify your situation and seek safe measures.3. What should I know about my fertility, even if i'm not trying to get pregnant?

Whether you are hoping to start a family soon or at all, it is so important to be informed about your fertility. There are many things that influence your capacity to conceive in the future including your age, lifestyle choices, regularity of menstruation, and existing health problems. Chatting today with your gynaecologist is a way to access possible ways to maintain your fertility, the quality of your eggs, and being educated on the reproductive hormones. Many women only consider their fertility when they have difficulty conceiving, but asking at an earlier point in time can help inform your options and choices.4. How do I know if my birth control is still right for me?

Your body and habits change over time, and your contraception should change with it. Perhaps you're experiencing new side effects, or your needs have evolved post-pregnancy, or you're at a different stage in your 30s and 40s. Many women stay on the same birth control for years without ever discussing how well it's working, the associated risks, or their better options. Your gynaecologist can guide you in reflecting and making a decision that suits your existing health, your vision, and your comfort level.5. What screenings or tests should I be getting at my age?

There are so many age-specific screenings to find early warning signs of disease, from Pap smears and HPV testing to breast exams to bone density scans. However, many women don't know when to begin, how often they need to repeat them, or what is actually necessary. A simple discussion with your doctor will help you keep track of necessary preventive care, and this can include annual blood tests, STI screenings, or mammograms after the age of 40.Your gynecologist is your health partner, they're not just going to provide a yearly check-in. The more upfront and honest you are, the more help they can provide for any health challenge throughout each stage of your life, from puberty to menopause, and beyond. The next time you're in the clinic, make sure to take advantage of your time. Your questions are valid, your worries are important, and your health matters!Dr Indrani Salunkhe, Obstetrician and Gynaecologist, Wockhardt Hospitals Mumbai Central

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