Obstetrics & gynaecology
Pregnancy visits and cycle-related care in one practice
TREATMENT
Choosing contraception that matches health history, daily routine, and whether you want pregnancy soon—and what side-effects to report.

OVERVIEW
Method choice depends on medical history, daily routine, breastfeeding status, and when you want the next pregnancy—not only what friends chose.
Side-effects that disrupt sleep or bleeding should be reported rather than silently abandoned without a safer switch plan.
Screening before start follows method-specific rules. Come with blood pressure history and any clotting or migraine story.
Emergency contraception has a time window—call if timing confuses you rather than guess alone.
WHAT PATIENTS NOTICE
Contraceptive side-effects vary: irregular spotting on some progestin methods, heavier bleeds on copper IUD for some users, headaches or mood change on combined hormones for others.
Danger symptoms (severe headache with aura, chest pain, unilateral leg swelling) need emergency options, not only method-switch chats.
When describing family planning concerns, lead with onset, severity scale, and what already failed at home. That short structure saves minutes that can be spent on examination and plan choices.
CAUSES & CONTRIBUTING FACTORS
Unmet need for contraception often comes from side-effect myths, partner opposition, access gaps between Civil Lines and Model Town open days, and fear of infertility—none replace clinical eligibility checks.
Medical eligibility criteria exist for a reason: migraines with aura, clotting history, and certain liver diseases change method classes.
Emergency contraception is time-critical; know which methods are accessible after hours rather than waiting for a weekday Model Town slot after unprotected intercourse.
History screens out unsafe method combinations.
Daily pill discipline vs long-acting methods.
Breastfeeding alters hormonal choices early after birth.
Short-term spacing vs permanent methods need different conversations.
DIAGNOSIS
Before many methods: blood pressure check, migraine/clot history, current medicines, and pregnancy exclusion when indicated.
Pelvic exam is not mandatory for all methods (e.g., many pill starts) but is needed for IUD counselling and insertion options.
If migraines with aura exist, say so before any combined hormonal start; that single history item can redirect the method class safely.
State your visit goal in one line: symptom control, fertility planning, diagnosis clarity, procedure counselling, or second opinion. Clear goals prevent menu-style over-testing.
TREATMENT OPTIONS
Option classes include barrier methods, combined hormonal methods, progestin-only options, IUDs (copper or hormonal), implants where available, emergency contraception timing, and permanent methods after thorough counselling.
Availability of specific brands may vary by pharmacy and hospital formulary; counselling focuses on classes and correct use.
Long-acting methods reduce daily adherence burden for shift workers who cannot guarantee same-time pills between Civil Lines OPD days and night duties.
Pills, patches, rings depending on access and eligibility.
IUDs/implants with insertion and removal counselling.
Time-critical guidance after unprotected intercourse.
Only after completed decision-making and consent standards.
BENEFITS & LIMITS
Matched methods reduce unintended short-interval pregnancies that challenge recovery after caesarean or complicated births.
Side-effect priming reduces sudden unprotected discontinuation without a backup plan.
Before leaving a family planning visit, confirm the exact next review window and which symptoms cancel that wait. Timing confusion causes most preventable delays between North Delhi centres.
RECOVERY & FOLLOW-UP
After IUD insertion, cramping and short spotting are common; fever and severe pain are not normal expectations to ignore.
After starting hormones, give the planned adjustment window but report red-flag symptoms early.
Removal plans for IUDs or implants should be as clear as insertion plans—know which centre days support uncomplicated removals.
If a procedure plan was discussed for family planning, leave with activity limits, wound or bleeding expectations, and a named after-hours contact path—not only a routine review date.
String check teaching after IUD if advised
Missed-pill rules sheet
When to use condoms as backup
Insertion site or pelvic infection red flags
Plan date to reassess bleeding side-effects
WHEN TO CONSULT
If any of these start, seek care before the next scheduled OPD day.
Seek care before short-interval conception risk after complicated births, and whenever method side-effects make adherence collapse.
Suspected IUD expulsion, pregnancy symptoms on contraception, or migraine aura after combined hormones need prompt review.
Escalate sooner for family planning if symptoms accelerate within a day, if medicines cannot be kept down, or if dizziness suggests anaemia or volume loss.

Dr. Anju Bala
Obstetrician & Gynaecologist
13+ Years
Clinical practice
Civil Lines
Hospital OPD
High Risk Pregnancy
Close monitoring
Model Town
Evening clinic
WHY WOMEN CHOOSE DR. ANJU BALA
Care focuses on history, indicated tests, and written next steps—from adolescence and cycle problems through pregnancy and midlife bleeding concerns.
GOOGLE REVIEW
Shared on Google by a real patient of Dr. Anju Bala.
“Dr. Anju Bala is an excellent gynaecologist. She listens carefully, explains every concern clearly and gives practical advice. She is polite, friendly and genuinely cares for her patients.”
RELATED TREATMENTS
These are separate decisions. Read the page closest to your question, then confirm the plan in clinic.
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TREATMENTHeat flushes, sleep loss, midlife bleeding changes, or mood shifts—what needs exam, which options exist, and when bleeding is never “just menopause.”
Learn moreFAQS
Answers to common clinical and practical questions about this condition or treatment.
Reversible methods are designed to allow return to fertility after stopping; timing of return varies by method. Permanent methods are different.
Some methods suit lactation better than others. Timing and type need individual advice.
No. It is also highly effective ongoing contraception and can be used for emergency insertion within time limits.
Routine annual ‘pill holidays’ are not medically required for most users. Discuss personal risk at reviews.
With Dr. Anju Bala at Civil Lines and Model Town. Bring medicine and migraine/clot history.
Counselling can explore options and safety; coercion situations need protected support options.
Age-appropriate contraceptive education and care follow medical and legal frameworks with sensitive history-taking.
Book family planning counselling; mention postpartum status, breastfeeding, and preferred method class if any.
Ignore guaranteed pregnancy rates, “complication-free delivery” packages, and magic hormone cures. Your plan depends on your history, examination, and tests with Dr. Anju Bala—not on a stranger’s story or ranking badge.
Yes. Ask for a written problem summary, key results, and options already considered. Second opinions work best with documents, not verbal fragments.
Both support continuity with Dr. Anju Bala depending on weekday schedules. Hospital-linked tests or procedures often map to Sant Parmanand Hospital in Civil Lines; Model Town often suits interim review.
Chat can help you book, share reports, and check if symptoms need emergency care. Prescriptions and stop–start decisions wait for examination when needed—not for message threads alone.
Ready when you are
Book online, call the clinic desk, or WhatsApp your preferred day. Confirm Civil Lines or Model Town hours before you travel.
Clinic timings and full addresses are listed on the Locations page.