Gynaecologist in Rawalpindi

Most consultations fall into a handful of categories, and most of them are far more treatable than patients expect after months of waiting.

Polycystic ovary syndrome is extremely common here and frequently managed as a collection of separate complaints — acne at one clinic, unwanted facial hair at another, irregular periods at a third, hair thinning somewhere else — with nobody joining them together.

It is one condition with one hormonal driver, and treating that driver improves all of it. Ayra is unusually well suited to this because the gynaecology, dermatology and laser departments are in the same building: the hormonal management, the acne treatment, the hair-thinning assessment and the laser hair removal can be planned together rather than in four disconnected places. PCOS also carries longer-term metabolic implications that deserve monitoring, which is a reason to have it managed rather than worked around.

A large number of women here have been told that severe period pain, or bleeding heavy enough to disrupt work and daily life, is simply normal and must be tolerated. It is very often not normal, and it very often has a cause that can be identified and treated.

Fibroids, endometriosis, adenomyosis, thyroid disease and clotting disorders all present this way, and all are manageable. Heavy bleeding is also a common cause of the iron deficiency that leaves women exhausted and losing hair, and which is then treated as a separate problem entirely. If your periods interfere with your life, that is a reason to be assessed.

Couples in Pakistan are frequently pushed towards expensive assisted reproduction before basic assessment has been done, and a significant proportion of difficulty conceiving has a straightforward, identifiable and treatable cause — ovulation problems, thyroid disease, PCOS.

The right starting point is a basic assessment of both partners, because a meaningful share of cases involve a male factor that no amount of treating the woman will address. Where specialist intervention is genuinely needed we will say so and refer appropriately, but that conclusion should follow investigation rather than precede it.

Symptoms involving intimacy, contraception, bleeding after intercourse, or discomfort are difficult to raise and are routinely left unmentioned even in a consultation the patient came specifically to have.

Consultations are private, with a female doctor, and nothing is discussed outside your clinical file. You can attend alone or bring someone. If it helps, write your concerns down and hand the note over rather than saying it out loud — a number of patients do this and it works perfectly well.

Bring any previous test results, scans or prescriptions, even old ones, and a rough note of your recent cycle dates. Both save time and both change what we recommend.

If you are being seen for suspected hormonal problems, it is worth knowing that some blood tests need to be taken on specific days of the cycle. Message us beforehand and we will tell you which day to come, so the visit and the test happen together.