Age Gynecology: The main problems after 30 years old

30 years – the heyday of women’s reproductive health

As a rule, at the age of 30, a woman has a second or third birth. However, there may be the first. And a woman should understand that childbirth is a very big burden on the body. If earlier it was believed that pregnancy greatly heals a woman, today most doctors say that this is a kind of planned illness.

Of course, it cannot be said that this is a “disease” in the full sense of the word, but the load on the body at this time is so great that all the hidden shortcomings of the body begin to appear, which would have appeared anyway, but much later. Pregnancy “provokes” them.

A striking example is gestational diabetes mellitus (a disorder of carbohydrate metabolism that occurs in some women exclusively during pregnancy). Then, over the next 10 years, half of them develop type 2 diabetes. 

On the one hand, pregnancy is a physiological state, a pregnant woman cannot be considered sick. On the other hand, this is a special state. This is why prenatal counseling is so important. A couple who have decided to have a child should definitely come for a consultation, get checked, and if at this stage there are any weak links in the body, then put them in order. Because sometimes during pregnancy, doctors can no longer intervene, and if they can, it is not as effective as it would be at the stage of pregnancy planning. 

30+ is the age when preventive examinations are very important

It’s no secret that in recent years, oncology has become very young. If earlier this disease began to suffer after 50, then after 40, today we also find cervical cancer in 27-year-old women. 

In general, in accordance with each age, there is a list of examinations that are supposed to pass. This applies not only to gynecologists, but also to doctors of other profiles. And this list should not be neglected. Because prevention is always easier than cure.

Cervical cancer never occurs spontaneously – they say that yesterday there were healthy cells, and today they are already sick. No, this is a long process, a gradual transformation of the cell. Therefore, it is so important to take a smear for cytology every year. Today, this study is carried out in the classical way, but in the near future liquid cytology will be carried out, which, by virtue of the method itself, is considered more accurate. It will be possible to do it once every three years, provided that the woman is doing well.

If a woman regularly visits a gynecologist and takes a smear for cytology once a year, then changes in the cell, if they suddenly appear, will be detected on time, and the issue will not need to be resolved with an oncologist, a gynecologist can also cure at this stage.


Women aged 30+ are characterized by an active sex life. Sometimes – change of sexual partners. Hence the STD. By the way, the gold standard for screening for infectious diseases is PCR diagnostics. It is also important not to forget about contraception and be sure to first consult on this issue with a gynecologist. 


“Unfortunately, this is the number one problem today. There are cases when, at a young age, a woman’s ovarian reserve is so depleted that even IVF will not help. Wasting occurs for a number of reasons: lifestyle, ecology, genetics, smoking. It happens that a 34-year-old woman comes, and the ovarian reserve is such that she can only take the baby from the orphanage – nothing else can be done. Fortunately, such cases are rare, but they do exist. By the way, today there is a way to determine the ovarian reserve, and this is a great help to fertility doctors. 

30+ – chronic pelvic pain

Pelvic pain can be very painful for a woman. There are many reasons for their occurrence. If this worries you, then it is better to undergo a comprehensive examination, because it is not always a matter of gynecology, often the cause of pelvic pain should be identified by specialists in related specializations.

What we have just described, in most cases, is typical for women aged 30-40 years. Separately, I would like to talk about the age of 40-50 years.

Gynecology 40+

The fact is that every year the likelihood  of precancerous and precancerous processes increases . Therefore, after 40 years, the importance of prophylactic examinations increases even more. 

At 40, some women may already have early  premenopausal syndromes . There are endocrine problems, overweight, high cholesterol in the blood, and so on. In these cases, methodical examinations are also important in order to identify deviations in time and prescribe the necessary treatment. 

There are different points of view on substitutive-vaginal therapy (replacement-menopausal). Previously, it was actively advertised, they say, if you are already 45 and even if you do not have menopause yet, you can start taking drugs – and everything will be fine. After 10 years, they began to talk about something else: the appointment of this therapy increases the risk of developing breast cancer. Today, most doctors in matters of substitution-menopausal therapy for moderation. Of course, for those women to whom it is indicated, this therapy should be prescribed. But after careful examination. 

After 40 years, women also give birth. And let me tell you, quite successfully. But still, the body is no longer young, and it is necessary to approach the issue of planning and preparing for pregnancy even more carefully. The older the woman, the greater the load that falls on the body during pregnancy. In this regard, it is extremely important to correctly approach your behavior during this period.

Inflammatory diseases and STIs  are also typical for the age of 40+, but to a much lesser extent. 

After 40 years, purely cases of  benign tumors (uterine fibroids, ovarian cysts) increase. This is primarily due to hormone surges. Benign tumors also occur after 30 years, but for the age of 40+ it is still more typical.

After 45, problems begin associated with the  prolapse of the walls of the vagina . In general, menopausal phenomena in each woman are expressed in their own way. The same hot flashes that are often the butt of jokes actually significantly impair a woman’s quality of life. By the way, if a woman is only concerned about hot flashes, then today there are drugs that successfully cope with such symptoms. 

Dryness and discomfort in the intimate area  are also important problems at this age. After 45 years, a woman is still beautiful and sexually active, but sexual intercourse can be painful up to its impossibility due to the severity of the pain. Often this has a very negative effect on the relationship between spouses. Previously, women were saved by candles and creams, it was a lifelong therapy. Today, as far as I know, there are laser technologies in Minsk that eliminate these problems, and even minor prolapse of the vaginal walls (when it is, for example, stress urinary incontinence). 

Also, if we talk about intimate life, in some cases after 40 years (although this happens at a younger age), after childbirth, the  walls of the vagina are so stretched in womenthat they no longer get the pleasure from sex as before. However, this problem can also be solved today.

Of course, you should not immediately stick all these problems on yourself immediately after reading this article, even if you are over 30. In addition, today all these problems have long been getting younger. However, today’s opportunities in the world of gynecology and reproductive medicine have also achieved their outstanding results in the mission to save a woman. If you feel that you should start with something important – start with a full examination and a radical review of your lifestyle, even the direction of your thoughts if needed. We will be happy to help consult a doctor and work out any of these problems programmatically together with you on the way to complete recovery and rejuvenation of your body with the leading specialists and clinics. Let your colors of blooming be durable! And we will always be there …