Complete Women's Gynecological Care Changes in menstrual patterns or unusual vaginal symptoms can have several causes, including hormonal changes, infections, structural conditions, and other gynecological problems. Dr. Rishabh Ramugade and Dr. Apoorva Girme Ramugade provide evaluation and treatment at Orchid Healthcare. Services / Conditions May Include: •Irregular periods •Heavy menstrual bleeding •Painful periods •Absent periods •Abnormal uterine bleeding •Premenstrual symptoms •Vaginal discharge •Vaginal infections •Vaginal itching or irritation •Hormonal menstrual disorders Depending on symptoms, assessment may involve medical history, physical examination, pregnancy testing, blood investigations, hormonal evaluation, ultrasound, or other appropriate investigations. Treatment is based on the underlying cause.