Obstetrics and Gynecology (Obstetrics & Gynae) is a medical specialty that focuses on women’s health, particularly related to the reproductive system. It is divided into two main subfields:
- Obstetrics: Focuses on pregnancy, childbirth, and the postpartum period (the period after childbirth).
- Gynecology: Deals with the general health of the female reproductive system, including the vagina, uterus, ovaries, and fallopian tubes.

Key Areas of Obstetrics:
Pregnancy Care:
- Prenatal Care: Routine checkups during pregnancy to monitor the health of both the mother and fetus. Includes blood tests, ultrasounds, and screenings for genetic conditions.
- Labor and Delivery: Management of the birth process, including vaginal delivery, cesarean section (C-section), and support during labor.
- Postpartum Care: Care after childbirth, including physical recovery, emotional health, and breastfeeding support.
Complications During Pregnancy:
- Gestational Diabetes: High blood sugar that develops during pregnancy.
- Pre-eclampsia: High blood pressure and organ damage during pregnancy, which can lead to complications for both mother and baby.
- Miscarriage: Loss of pregnancy before the 20th week.
- Ectopic Pregnancy: A pregnancy that occurs outside the uterus, often in the fallopian tube.
- Preterm Birth: Delivery that occurs before 37 weeks of pregnancy.
- Multiple Pregnancies: Care for twins, triplets, or higher-order multiples, which may require special monitoring.
Fertility and Conception:
- Infertility: Diagnosis and treatment of women who have difficulty getting pregnant. This can include fertility medications, intrauterine insemination (IUI), or in vitro fertilization (IVF).
- Reproductive Health: Advice on contraception (birth control) and family planning.
Key Areas of Gynecology:
Menstrual Disorders:
- Irregular Periods: Abnormal menstrual cycles, which may be caused by various conditions like polycystic ovary syndrome (PCOS) or thyroid disorders.
- Amenorrhea: Absence of menstruation, which could be due to hormonal imbalances, pregnancy, or other health issues.
- Dysmenorrhea: Painful periods, often caused by conditions like endometriosis or fibroids.
Reproductive System Health:
- Polycystic Ovary Syndrome (PCOS): A hormonal disorder that affects the ovaries and may cause irregular periods, infertility, and excessive hair growth.
- Fibroids: Non-cancerous growths in the uterus that can lead to heavy periods, pelvic pain, or fertility issues.
- Endometriosis: A condition where tissue similar to the lining of the uterus grows outside the uterus, causing pain, infertility, and other complications.
- Ovarian Cysts: Fluid-filled sacs in the ovaries that may cause pain or affect fertility.
Pelvic Organ Prolapse:
- A condition where the pelvic organs (bladder, uterus, or rectum) descend or bulge into the vaginal canal due to weakened pelvic floor muscles.
Cancers:
- Cervical Cancer: Cancer of the cervix, often linked to the human papillomavirus (HPV). Regular Pap smears and HPV tests help with early detection.
- Ovarian Cancer: A cancer that begins in the ovaries, often diagnosed at later stages due to vague symptoms.
- Endometrial Cancer: Cancer of the lining of the uterus, often presenting with abnormal bleeding.
- Vaginal and Vulvar Cancers: Less common cancers affecting the vaginal and external genital areas.
Sexual Health and Dysfunction:
- Includes treatment for conditions like vaginal dryness, painful intercourse (dyspareunia), and sexual dysfunction.
- Counseling on contraception (birth control options) and safe sex practices.
Gynecological Surgeries:
- Hysterectomy: Surgical removal of the uterus, often due to conditions like fibroids or cancer.
- Laparoscopy: A minimally invasive surgical procedure used to diagnose and treat conditions like endometriosis, ovarian cysts, and pelvic adhesions.
- Colposcopy: A procedure used to examine the cervix, vagina, and vulva for signs of disease, especially after an abnormal Pap smear.
Preventive Care and Screening:
- Pap Smear: A test to screen for cervical cancer and precancerous changes in the cervix. Recommended regularly for women starting at age 21, or earlier if sexually active.
- HPV Vaccination: Vaccines that protect against the human papillomavirus, which can lead to cervical cancer.
- Breast Health: Regular breast exams, mammograms, and self-breast exams to detect breast cancer early.
- Bone Health: Monitoring bone density in postmenopausal women or those at risk of osteoporosis.
- Menopause Management: Care for women going through menopause, including symptom management (hot flashes, mood changes, etc.) and hormone replacement therapy (HRT) options.
Common Gynecological and Obstetric Procedures:
- Ultrasound: Used to visualize the reproductive organs, monitor pregnancy, and assess conditions like fibroids or ovarian cysts.
- Amniocentesis: A procedure where a small amount of amniotic fluid is removed from around the baby to test for genetic conditions.
- Intrauterine Device (IUD): A small device inserted into the uterus to provide long-term contraception.
- Fertility Treatments: Options like IUI (intrauterine insemination) and IVF (in vitro fertilization) are available for women facing infertility issues.
- Endometrial Biopsy: A test that involves taking a sample of the uterine lining to check for abnormal cells, infections, or cancer.
When to See an Obstetrician/Gynecologist:
- Pregnancy or Planning Pregnancy: For prenatal care, fertility concerns, and family planning.
- Irregular Periods: If you have very heavy, painful, or absent periods.
- Pelvic Pain: Persistent or severe pain in the lower abdomen or pelvis.
- Sexual Health Issues: Painful intercourse, changes in sexual function, or vaginal infections.
- Breast Lumps or Changes: To evaluate any changes or lumps in the breasts.
- Menopause: If you’re experiencing symptoms like hot flashes, night sweats, or mood changes.
Obstetrics and Gynecology in Women’s Health:
Obstetrics and gynecology are key components of women’s healthcare, dealing with everything from reproductive health to pregnancy and childbirth. OB-GYNs not only provide care during key life stages (puberty, reproductive years, menopause) but also offer prevention and early detection strategies for serious conditions like cancer and heart disease. Regular visits to an OB-GYN help women maintain their overall health and well-being.