Specialised Care for Young Women
The transition from childhood through puberty to young adulthood is a time of profound physical, hormonal, and emotional change. Adolescent gynaecology focuses on the specific reproductive health needs of girls and young women aged 10 to 19. Navigating issues like the onset of periods, body changes, and reproductive health can be confusing and intimidating for teenagers. At Star Ortho & Women Care, Dr. Aparna Kalekar provides a welcoming, reassuring, and highly sensitive environment designed to make young patients feel comfortable and respected as they learn about their changing bodies.
The First Gynaecology Visit
We encourage mothers to bring their daughters for a first gynaecology visit between the ages of 13 and 15. This 'meet and greet' appointment is rarely about physical examinations. Instead, it is an opportunity to establish trust, provide accurate health education, and answer questions about normal puberty, hygiene, and the menstrual cycle. It demystifies the gynaecologist's office and ensures the teenager has a trusted medical professional to turn to if complex issues arise later. An internal pelvic exam is almost never performed during these early routine visits.
Managing Menstrual Issues in Teens
Menstrual irregularities are the most common reason adolescents visit a gynaecologist. While it is normal for periods to be irregular for the first few years as the reproductive system matures, certain symptoms require attention. These include periods that last longer than 7 days, bleeding heavy enough to cause anemia, severe debilitating cramps (dysmenorrhea) that cause school absences, or failure to start menstruating by age 15. Dr. Kalekar provides gentle evaluation (usually utilizing external abdominal ultrasound) and effective treatments, which may include simple pain management or hormonal regulation.
Teenage PCOS and Hormonal Health
Polycystic Ovary Syndrome (PCOS) often begins to show its signs during the teenage years. Symptoms in adolescents can include persistent irregular periods, severe acne that doesn't respond to standard treatments, unusual weight gain, and excess facial or body hair (hirsutism). Diagnosing PCOS in teens requires careful differentiation from normal pubertal changes. Our approach focuses heavily on education, lifestyle modifications (nutrition and exercise), and gentle medical management to control symptoms and protect long-term metabolic health.
Confidentiality and Education
We deeply respect the privacy of our adolescent patients while acknowledging the crucial supportive role of parents. A portion of the consultation may be spent with the teen alone to allow them to ask sensitive questions confidentially. We provide essential education on reproductive health, menstrual hygiene, the HPV vaccine (for cervical cancer prevention), and safe practices. Our goal is to empower young women with accurate information, helping them build a foundation of healthy habits and a positive relationship with their healthcare providers that will last a lifetime.
Frequently Asked Questions
Common queries about adolescent gynaecology.
- When is the first visit? Recommended between ages 13-15, primarily for education and establishing trust.
- Are irregular periods normal? Yes, for the first 2-3 years, but heavy bleeding or severe pain needs evaluation.
- Will there be a pelvic exam? Rarely. Exams are mostly external (abdominal) unless specifically medically indicated.
- What about severe cramps? Very common but treatable; no teen should regularly miss school due to period pain.
- Can teens get PCOS? Yes, presenting with irregular periods, acne, and weight issues; early management is key.


