Age group 21 to 35 years old.

These are the peak reproductive years and many health problems may affect a woman at this time, which could be linked to fertility.  Problems could be as follows;

Irregular periods 

which could be frequent periods and are due to endometrial polyps or dysfunctional uterine bleeding, fibroids , and many other causes.  It could be delayed cycles and heavy bleeding.  If irregular delayed periods are associated with weight gain, acne or spots, excessive coarse hair over the face, shoulders or abdomen, then one should think of polycystic ovarian syndrome or PCOS.

Painful Intercourse

This can be due to:

• Endometriosis

• Pelvic Inflammatory Disease (PID)

• Other causes.

Vaginal discharge and Irritation.

This is one of the most common symptoms that women will encounter in their lifetime.  Some of them are very mild like a thrush infection and usually Canesten tablets and cream will clear up the infection. 

Vaginal or Vulval Lump.

Another important symptom a women presents with is a lump in the vagina or vulva.  The most common lump in the vulval region is a Bartholin cyst.

Abnormal Smear.

Even if you do not have any symptoms you must still have regular smear tests from the age of 20-25.  Routine smear tests are very important to exclude any pre-cancerous cells of the cervix.  Details of the test which is called a colposcopy and the treatment itself has been discussed.  

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