Common Gynaecological Conditions and How They Affect Fertility
Fibroids
Polycystic Ovary Syndrome (PCOS)
PCOS is a hormonal condition that affects ovary function and is a common cause of irregular periods. Symptoms may include missed periods, excess hair growth, and difficulty managing weight. It can disrupt ovulation, making it harder to predict fertile windows and conceive.
Endometriosis
Endometriosis occurs when tissue similar to the uterine lining grows outside the uterus. It may cause severe menstrual pain, chronic pelvic discomfort, pain during intercourse, and irregular bleeding. The condition can lead to inflammation or scar tissue, which may affect reproductive organs and impact fertility.
How Are Gynaecological Conditions Diagnosed?
Diagnosing gynaecological conditions typically involves a combination of medical history, physical examination and targeted investigations.
A pelvic examination may be performed to assess the uterus and surrounding structures for any abnormalities. Depending on the symptoms, imaging tests such as ultrasound scans are commonly used to provide a clearer view of the reproductive organs. In some cases, additional tests or minimally invasive procedures such as hysteroscopy or laparoscopy may be recommended for a more detailed evaluation. These assessments help ensure an accurate diagnosis and allow your doctor to recommend appropriate and personalised treatment options.
Signs You Should See a Gynaecologist
Many women may delay seeking medical advice, especially if symptoms seem mild or appear only during their menstrual cycle. However, certain changes in menstrual patterns or persistent discomfort may signal an underlying gynaecological condition that should be evaluated. You may wish to consult a gynaecologist if you experience:
- Severe menstrual pain that interferes with daily activities.
- Very heavy periods or bleeding that lasts longer than usual.
- Irregular menstrual cycles or missed periods.
- Persistent pelvic pain or pressure.
- Pain during intercourse.
- Difficulty conceiving after trying for some time.
- Unusual changes in your menstrual pattern.
The Importance of Regular Gynaecological Check-Ups
Regular gynaecological check-ups play an important role in maintaining a woman’s reproductive and overall health. Even when there are no noticeable symptoms, routine visits allow potential issues to be identified early and managed before they develop into more serious concerns. Conditions such as fibroids, PCOS or endometriosis may develop gradually and early evaluation can help ensure timely care.
These consultations also provide an opportunity for women to discuss any changes in their menstrual cycle, pelvic discomfort or other health concerns with a healthcare professional. In addition, gynaecological visits can offer guidance on hormonal health, fertility planning and other aspects of reproductive well-being based on a woman’s individual health needs and life stage.
Take Charge of Your Gynaecological Health with Dr Kelly Loi
Our Dedicated Specialist
Dr Kelly LoiSenior Consultant Obstetrician & GynaecologistMedical Director & Clinical Governance Officer (CGO) of Monash IVF SingaporeMedical Director of Health & Fertility Centre for Women
Dr Kelly Loi is a Senior Consultant Obstetrician and Gynaecologist specialising in reproductive medicine, fertility treatment and IVF, as well as minimally invasive laparoscopic and hysteroscopic surgeries. She is the Medical Director and Clinical Governance Officer of Monash IVF Singapore and Medical Director of the Health & Fertility Centre for Women at Mount Elizabeth Medical Centre.
Dr Loi graduated from Oxford University Medical School and is a Fellow of the Royal College of Obstetricians and Gynaecologists (UK) and the Academy of Medicine, Singapore. She has held leadership and clinical roles in major fertility centres in Singapore, including serving as Medical Director of the Mount Elizabeth Hospital Fertility Centre from 2019 to 2023. With extensive experience in assisted reproductive care, research and medical education, she is committed to advancing women’s health and providing comprehensive fertility and gynaecological care.
FAQs About Gynaecological Health
The recommended frequency of visits may vary depending on a woman’s age, medical history and specific health concerns. In general, many women benefit from routine gynaecological reviews once a year, though a doctor may suggest a different schedule based on individual needs.
A gynaecological visit may include several preventive screenings depending on the patient’s age and health history. These may include pelvic examinations, cervical screening tests, ultrasound scans or other assessments recommended by the doctor.
Menstrual cycles can naturally vary over time due to factors such as stress, lifestyle changes or age. However, persistent changes in cycle length, bleeding patterns or menstrual pain may warrant medical evaluation.
Patients may find it helpful to note any symptoms they are experiencing, changes in their menstrual cycle or questions they would like to discuss. Information about medications, past medical history and family health history may also assist the doctor in making an informed assessment.
No. Women may experience gynaecological health concerns at different stages of life, including adolescence, the reproductive years and menopause. Regular medical care can help address age-specific health needs.

