1. Hey everyone I'm a practicing Obstetrician and Gynaecologist based here in Chennai. This article is your A to Z about common Gynaecological problems and solutions. 1. White discharge per vagina WDPV is a common complaint amongst woman who have just started their sexual activity, also common among menopausal, post menopausal women.Common causes include vulvo-vaginal candidiasis,  trichomoniasis, bacterial vaginosis etc.Itching is a common co-symptom and necessitates prompt treatment.Rx includes use of oral antifungals such as Secnidazole, topical ointments and creams such as Candid-V gel, vaginal lubricants.Use of clean and dry underwear is important. Vaginal hygiene, avoiding douching, abstaining from intercourse during an active bout of infection is all important for early and complete recovery.2. MenorrhagiaFederation of Obstetrics and Gynaecology in India defines heavy menstrual bleeding as excessive bleeding from the female genital tract that affects the woman's physical, mental, emotional, material well-being. Normal duration of 2-6 days, interval of 24-35 days, blood loss per day of 20- 80ml, use of 2-4 pads, without passage of clots, with mild to moderate pelvic pain is considered standard. Any deviation from these-Excessive bleeding is menorrhagia More frequent cycles is polymenorrhea Lesser quantity of bleeding is hypomenorrheaInfrequent cycles is oligomenorrheaPainful menstruation is dysmenorrhea, spasmoticCommon causes include Polycystic Ovarian disease, Fibroids, Adenomyosis, Puberty menorrhagia, Genital trauma, Ovarian causes, Cancer or hyperplasia of the uterine lining/ ovary/ cervix, Extra-uterine causes like Coagulation disorders, Clotting factor deficiencies, Anemia etc.Treatment depends of the exact diagnosis that is usually confirmed with a physical examination and ultrasound. Nonhormonal treatment followed by Oral hormonal cyclic pills followed by injectables followed by surgery is the usual hierarchy in the treatment of Heavy menstrual bleeding.3. Infirtility Inability to conceive despite normal sexual intercourse for more than a year with the woman having regular cycles is infirtility.Couples usually visit a Gynaecologist when they wish to conceive or for regularisation of cycles or for preconceptional councelling.Either way, evaluation of both the partners are essential. Blood tests like Anti-mullarian hormone, Thyroid stimulating hormone, Haemoglobin status, Rh blood group, cholesterol, sugar levels, random and HbA1C, Vitamin D levels, semen analysis and other specific tests are required for diagnosis. Ultrasound, MRI as radiological investigations that assist in management.Srep wise approach with timed intercourse, sexual health counselling with diet and exercise modifications, hormonal assistance with oral contraceptive pills, progesterone only pills, intrauterine insemination, invitro fertilization with self / donor sperm/ eggs with embryo transfer, surrogacy constitutes a brief summary of the treatment approach.4. Urinary tract infection. Women in their reproductive years face problems of burning sensation in their private parts, itching, fever, increased frequency of urination, incontinence that prevent them from day-to-day activities.A simple urine routine test followed by urine culture-sensitivity helps to confirm the diagnosis, organism causing the infection and specific antibiotic sensitivity.Treatment includes oral antibiotics like Nitrofurantoin, Cefotaxim, Cefaperazone, increased quantity of fluid intake at least 4L a dat, cranberry juice, coconut water, avoiding use of public toilets, maintaining intimate hygiene can help cure this simple but distressing ailment