Adolescent Gynaecology in Delhi
Care for teenage girls — delayed or absent periods, painful periods, PCOS and vaccination.
What adolescent gynaecology involves
Teenage gynaecological problems are often dismissed at home until they become severe. Periods that have not started by 15, periods painful enough to miss school, very heavy bleeding, or early signs of PCOS all deserve proper assessment.
Consultations are handled with care for the patient's dignity and privacy. Examination is rarely necessary at this age, and nothing is done without explanation and consent.
Who this is for
- No periods by age 15, or no breast development by 13
- Period pain severe enough to miss school
- Very heavy or very irregular bleeding
- Acne, excess hair growth or rapid weight gain suggesting PCOS
Not everything on this list means you need this treatment. The workup comes first, and the recommendation follows from what it shows — not from what was booked before you arrived.
Step by step
Consultation
History taken with the patient herself, with a parent present as she prefers.
Assessment
Growth charting, hormone profile and abdominal or transabdominal ultrasound as appropriate.
Explanation
The diagnosis explained to the girl in language she understands, not only to her parents.
Treatment
Pain management, cycle regulation or PCOS management with a long-term plan.
Your results, in writing
Whatever the outcome of adolescent gynaecology, you leave each stage with the findings written down — what was done, what was found, what it means, and what the options are from here. Reports are issued the same day wherever the laboratory allows it.
Case study: Sixteen, no periods, and a diagnosis that mattered
16, Malviya Nagar · primary amenorrhoea · brought by her mother
What she came in with
No periods by sixteen, though breast development had started normally at twelve. Her mother was anxious and had been told by relatives to simply wait.
What the workup showed
Normal secondary sexual characteristics with normal height. Abdominal ultrasound showed a uterus that could not be clearly visualised and normal ovaries. MRI confirmed Müllerian agenesis — the uterus had not formed. Karyotype was 46,XX, and the kidneys were normal.
What we did
No internal examination was performed. The diagnosis was explained first to her, in her own words and at her own pace, with her mother present at her request, over two appointments rather than one.
Outcome
Psychological support was arranged, vaginal dilator therapy discussed for when she chose it, and the future options — including gestational surrogacy — explained without pressure or timeline.
The point of this case
A sixteen-year-old receiving a diagnosis like this needs it explained to her, not over her head to her parents. The medicine took one appointment; the conversation took three.
Illustrative case. This is a composite of presentations commonly seen in this practice, written for explanation — it is not the record of an identifiable patient, and no individual's details are used. Outcomes vary, and nothing here is a prediction of what will happen in your case.
What is different about having this done here
Internal examination avoided unless genuinely necessary
The patient's own understanding and consent prioritised
HPV vaccination offered at the right age
Nutritional and bone health advice included
Treated by the consultant, not by a rotating team
Dr. Tiwari performs the scans, the procedure and the follow-up herself, and looks after any pregnancy that results. Over a long treatment course that continuity is the difference between being known and being processed.
- MBBS, MS (Obstetrics & Gynaecology), FNB (Reproductive Medicine)
- Over ten years in reproductive medicine and gynaecological surgery
- Consultations and scans at Mother's Hope, Katwaria Sarai; theatre work at SHE Delhi Hospital, Greater Kailash II
- Itemised costs given in writing before anything begins
Areas we see patients from
Both locations are in South Delhi. Patients travelling from further out have appointments grouped to cut down the number of trips.
Questions about adolescent gynaecology
Are irregular periods normal in teenagers?
For the first two years after periods start, some irregularity is normal. Beyond that, or if cycles are very long or very heavy, it should be assessed.
Will my daughter need an internal examination?
Almost never. Ultrasound is usually done abdominally at this age.
Talk it through before you commit
Consultations run for a full hour. Bring any previous reports — they are reviewed properly, not repeated.