New Delhi: 27-year-old Prakriti Bhat was in class 12 when she first visited a gynaecologist because of irregular periods and excessive pain. Upon examination, she was diagnosed with PCOD (Polycystic Ovarian Disease). Today, over a decade later, Prakriti doesn’t see a gynaecologist regularly. She says, “Whenever I have any doubts, I call up a friend who’s doing her residency in gynaecology. Usually, there is nothing major; eventually, everything comes down to PCOD only. I haven’t faced any other issue so never felt the need of seeing a gynaecologist.”
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Similarly, 26-year-old Anoushka Mudgil, a resident of Noida, Uttar Pradesh says that she first visited a gynaecologist two years ago, when during periods, she would develop fever and severe body ache, making her bed-ridden.
On the first and second day of my period, I would find it extremely challenging to step out of my bed. But on the third day, it would feel like I was living in an alternate world where I was sick, but here everything is completely normal. It was an alarming situation and definitely, something was wrong. At the same time, I was seeing a dermatologist who advised me to get tested for PCOD as I had hormonal acne, says Ms Mudgil.
She found a gynaecologist through a relative and was diagnosed with PCOD and soon began the treatment. Ms Mudgil continued visiting a gynaecologist for the duration of her treatment but apart from that, she never visited a gynae for regular health check-ups because she “never felt the need for it”.
Dr. Renu Raina Sehgal, Director and Chief of Obstetrics and Gynaecology, Artemis Hospital and Daffodils says that “gynae visit once a year should be there in the rule book”. However, not many women visit a gynaecologist on a regular basis to ensure good reproductive and sexual health.
The doctor couple, Dr Abhay Bang and Dr Rani Bang are founder directors of the Society for Education, Action and Research in Community Health (SEARCH) that works with marginalised communities – rural, tribal, women and children – to identify their health needs and develop community empowering models of healthcare to address those. The couple has been working in Maharashtra’s Gadchiroli since 1986. Back then, Dr Rani Bang had done pathbreaking research on the gynaecological and sexual diseases among women from two villages in the district, a first of its kind study. The study that was published in the prestigious Lancet in January 1989, revealed that 92 per cent of the women suffered from some or the other gynaecological or sexual disease and only 8 per cent had received treatment of any kind. Her study brought attention to women’s reproductive health on a global scale.
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When Dr Rani Bang started working in Gadchiroli, she was the only gynaecologist in the district. To understand how women felt about themselves, Dr Rani Bang talked to several women from different villages in the district and asked them about their common health problems.
To my surprise, all of them put obstructed labour and infertility in the most serious category. They said, ‘A woman can die of obstructed labour only once, but if she has infertility, she dies every day because everybody blames her.’ This made me think and I realised how deep the problem ran, she says.
Dr Rani Bang added that the problems being faced by women were not just pregnancy and childbirth-related. There were other problems too, such as menstrual problems, reproductive tract infections, sexually transmitted diseases (STDs), and others. Dr Rani Bang asserted that women’s reproductive health is the most neglected thing in society.
Women And Self Care: When And Why Should You Start Seeing A Gynaecologist
Talking about seeing a gynaecologist, Dr. Renu Raina Sehgal says, “With the advent of hormonal imbalances in the early age and among teenage groups, we should not delay taking our teenage daughters to a gynaecologist before she develops any disorder.”
Dr. Sehgal lists various stages of life when a woman should visit a gynaecologist:
– At 9-11 years of age to get the HPV vaccination
The HPV vaccine is a Human Papillomavirus Vaccine. Human papillomavirus is the cause behind 98 per cent of cervical cancers. HPV vaccine drastically reduces the risk of getting cervical cancer. It is recommended to take the vaccine at 9-11 years of age but one can take it later also, till 40-45 years, says Dr. Sehgal.
– When a girl attains her menarche that is when she gets her first period. A visit to a gynaecologist will help her to understand the basics of periods – what is normal and abnormal and when should she be reporting any symptoms to her parents
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– Before marriage to learn about contraception, dos and don’ts regarding sexual health, ways to prevent Sexually Transmitted Diseases (STDs)
– Before planning pregnancy: Along with pre-pregnancy counseling, a woman should take basic health tests to ensure the well-being
It’s crucial to visit a gynaecologist for regular check-ups. Let the gynaecologist examine you, your breast, the uterus and tell you that everything is alright, says Dr. Sehgal.
Important Tests Every Women Should Take to Ensure Good Health
– Papanicolaou test (Pap smear): A PAP test is a regular pelvic examination to detect any change in the cervical cells that can lead to cervical cancer. Dr. Sehgal recommends a Pap smear once in three years and if an individual is HPV vaccinated, a Pap test can be taken every five years.
– Mammograms after 40 years of age. It is done for the examination of human breasts.
– Ultrasounds every year to detect any cyst, fibroid or any kind of abnormality in the uterus.
– Basic tests to check for Thyroid, Vitamin D, Vitamin B12, Haemoglobin, and blood sugar level
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NDTV – Dettol have been working towards a clean and healthy India since 2014 via the Banega Swachh India initiative, which is helmed by Campaign Ambassador Amitabh Bachchan. The campaign aims to highlight the inter-dependency of humans and the environment, and of humans on one another with the focus on One Health, One Planet, One Future – Leaving No One Behind. It stresses on the need to take care of, and consider, everyone’s health in India – especially vulnerable communities – the LGBTQ population, indigenous people, India’s different tribes, ethnic and linguistic minorities, people with disabilities, migrants, geographically remote populations, gender and sexual minorities. In wake of the current COVID-19 pandemic, the need for WASH (Water, Sanitation and Hygiene) is reaffirmed as handwashing is one of the ways to prevent Coronavirus infection and other diseases. The campaign will continue to raise awareness on the same along with focussing on the importance of nutrition and healthcare for women and children, fight malnutrition, mental wellbeing, self care, science and health, adolescent health & gender awareness. Along with the health of people, the campaign has realised the need to also take care of the health of the eco-system. Our environment is fragile due to human activity, which is not only over-exploiting available resources, but also generating immense pollution as a result of using and extracting those resources. The imbalance has also led to immense biodiversity loss that has caused one of the biggest threats to human survival – climate change. It has now been described as a “code red for humanity.” The campaign will continue to cover issues like air pollution, waste management, plastic ban, manual scavenging and sanitation workers and menstrual hygiene. Banega Swasth India will also be taking forward the dream of Swasth Bharat, the campaign feels that only a Swachh or clean India where toilets are used and open defecation free (ODF) status achieved as part of the Swachh Bharat Abhiyan launched by Prime Minister Narendra Modi in 2014, can eradicate diseases like diahorrea and the country can become a Swasth or healthy India.
