As a gynecologist who has worked with women in Delhi for many years, I can tell you that most problems don’t appear without warning. The body usually gives very clear early signals changes in bleeding patterns, unusual discharge, pain that feels wrong, or just a sense that “something isn’t quite right.” Too many women wait far too long, thinking “it’s probably nothing,” “this is normal after having a baby,” “it’ll settle after my next period,” or “I’ll deal with it when I have time.” The longer those signals are left unchecked, the more complicated things can become, treatment takes longer, options get narrower, and sometimes fertility or long-term health ends up paying the price.

South Delhi has become a practical and trusted area for women’s healthcare because experienced gynecologists are concentrated here, ultrasound and labs are quick and close, and follow-up visits don’t feel like a major effort. If any of the signs below are present and they’re persistent, getting worse, or not improving with basic self-care, it’s time to book an appointment. Waiting rarely makes the situation easier.

Menstrual Cycles That Have Become Unpredictable or Extreme

Your periods should be reasonably consistent in timing, flow, and how much they interfere with life. When they drift far from that:

• Cycles that regularly come every 2 weeks or less, or stretch beyond 35–40 days for several months.

• Bleeding that lasts longer than 7 days or is so heavy you’re changing pads/tampons every 1–2 hours.

• Severe cramps that stop normal daily activities and require strong painkillers every cycle.

• Passing large clots or having bleeding/spotting between periods.

• A rather radical change to the heavier, lighter, or more painful side following many years of stability.

The changes which occur in this situation lead to PCOS and thyroid imbalance and uterine fibroids and endometrial polyps and adenomyosis and endometriosis and other hormonal disorders. The combination of early ultrasound tests and hormone blood tests enables doctors to determine the underlying cause before the patient develops anemia or experiences fertility problems or needs extensive surgical procedures.

Abnormal Vaginal Discharge, Odour, or Persistent Itching

Normal discharge shows a clear to white appearance and produces a mild odor. Women should seek medical attention when their symptoms show either sudden or ongoing changes.

• The smell of a strong fishy and yeasty odor becomes evident when the yellow and green and gray substances reach their maximum quantity. 

• The classic yeast infection presents with a thick white discharge that resembles cottage cheese and the patient experiences severe itching.

• Constant itching, burning, redness, or swelling around the vulva/vaginal opening.

• Any discharge mixed with blood when it’s not your period.

Most cases are bacterial vaginosis, candida, trichomonas, or sometimes cervicitis. A simple swab and targeted treatment clear it up quickly. Ignoring it can lead to chronic irritation, recurrent infections, or (less commonly) allow something more serious to go unnoticed.

Pain During Intercourse or Ongoing Pelvic/A Lower Abdominal Discomfort

Pain with sex or persistent pelvic ache is never something to accept as normal:

• Deep aching or sharp pain inside during penetration.

• Burning or soreness right at the vaginal entrance.

• Lower abdominal or pelvic pain that isn’t tied to your cycle and lingers.

Common causes include endometriosis, adenomyosis, chronic pelvic inflammatory disease, ovarian cysts, fibroids, scar tissue from previous surgery, or vaginal dryness from low estrogen (especially around menopause). A thorough exam, ultrasound, and sometimes laparoscopy can identify the source and open up effective treatment before it affects relationships or daily comfort.

Breast Changes That Feel New or Concerning

Any breast symptom deserves prompt attention:

• New lump, thickening, or hard area in the breast or armpit.

• Nipple discharge (especially if bloody, clear, or spontaneous).

• Skin changes orange-peel texture, dimpling, redness, or swelling.

• Nipple turning inward or persistent rash/crusting on the nipple/areola.

Most lumps are benign (cysts, fibroadenomas), but clinical exam plus ultrasound (under 40) or mammogram (over 40) provides certainty. Early evaluation makes all the difference if something more serious is present.

Urinary or Bowel Symptoms That Seem Pelvic in Origin

When bladder or bowel issues appear alongside gynecological complaints:

• Frequent urination, sudden strong urges, feeling of incomplete emptying, or repeated UTIs in adult women.

• The first test requires assessment of urine leakage that happens during active movements which include coughing, sneezing, and laughing, and during physical training. 

• The patient experiences difficulties with bowel movements because she requires excessive effort to pass stool while experiencing a sensation of incomplete bowel discharge and needs to apply pressure to her vaginal and perineal areas in order to defecate. 

• The person experiences a sensation of weightiness in their body which results in them feeling that something is emerging from their vaginal opening.

These frequently result from pelvic-floor muscle weakness which occurs after childbirth and chronic constipation and menopause-related tissue changes. A gynecologist who specializes in pelvic-floor disorders can evaluate patients and provide them with physiotherapy and pessary and surgical treatment options.

Difficulty Conceiving or Repeated Early Pregnancy Loss

If you’ve been actively trying to conceive for 12 months (or 6 months if over 35) without success, or you’ve had two or more miscarriages, evaluation is advised:

• Very irregular or absent ovulation (PCOS is the leading cause in India).

• Blocked or damaged fallopian tubes (from past infection, endometriosis, or surgery).

• Uterine cavity abnormalities (septum, fibroids distorting shape, adhesions).

• Hormonal imbalances (thyroid, high prolactin, low progesterone).

Basic tests, hormone profile, ultrasound, HSG, and partner semen analysis—usually reveal the main issue(s). Many couples respond well to simple interventions.

Any Vaginal Bleeding After Menopause

Once periods have stopped completely for 12 months, any vaginal bleeding is abnormal until proven otherwise. It can range from harmless atrophic vaginitis (low estrogen) to endometrial hyperplasia or cancer. A transvaginal ultrasound and endometrial sampling usually clarify it quickly and safely.

If any of these signs are present, especially if they’re persistent, worsening, or starting to interfere with daily life, don’t keep waiting for them to “sort themselves out.” Early evaluation makes diagnosis faster, treatment gentler, and outcomes better.

Consult with Gynecologist in Lajpat Nagar New Delhi, many women find the care there practical and thorough.

Book appointment with Best Gynecologist in South Delhi for a detailed history, careful exam, and the right tests tailored to your symptoms.

Lajpat Nagar’s central location makes follow-ups easy for most women across South Delhi.

Addressing things early often turns something concerning into something straightforward and completely manageable.

Listen to your body, when something doesn’t feel right for too long, it’s worth getting checked.