PsyOG: Bringing Together Mental Health and Gynecological Care for Women

A woman's mental health is closely connected to her hormonal, reproductive, and physical health. At different stages of life, hormonal changes can influence mood, sleep, anxiety, energy, concentration, relationships, and overall quality of life.

At our Women's Mental Health Clinic, we bring together mental health expertise and gynecological care to provide a more complete understanding of your concerns. This integration allows your physical, hormonal, reproductive, and emotional health to be considered together, rather than separately.

Your existing gynecological care continues

We believe in continuity of care and collaboration. If you are already consulting a personal obstetrician and gynecologist, your existing doctor-patient relationship will be fully respected, and your ongoing gynecological care will continue with your chosen specialist.

Dr. Pragnia Poloju, our Consultant Gynaecologist, will work in a supportive and complementary role, whenever required, and coordinate with your treating obstetrician and gynecologist to ensure that your mental health care is integrated smoothly with your existing medical care. If you are not currently under the care of an obstetrician or gynecologist, Dr. Pragnia can provide the necessary gynecological assessment and support as part of our integrated care approach.

One team, working with your doctor

Our goal is not to replace the doctor who knows you and your medical history. We work alongside your existing healthcare team to provide comprehensive care for your mental, reproductive, and emotional wellbeing.

PMDD: when PMS starts affecting your life

Premenstrual symptoms are common, but for some women, the emotional and psychological symptoms can become severe enough to significantly affect their relationships, work, studies, and daily functioning.

Premenstrual Dysphoric Disorder (PMDD) can involve:

• Severe mood changes or irritability
• Anxiety or feeling overwhelmed
• Low mood or hopelessness
• Anger or emotional sensitivity
• Difficulty concentrating
• Sleep disturbances
• Changes in energy and motivation
• Feeling unlike yourself during the days before your period

You don't have to simply "put up with it." Our team can help distinguish PMDD from other mental health and gynecological conditions and develop an individualized treatment approach, considering both your menstrual and mental health needs.

Fertility, infertility, and mental health

Because the journey to parenthood can affect more than your body.

Trying to conceive can be an emotionally challenging experience. Fertility difficulties, repeated treatment cycles, pregnancy loss, uncertainty, and the pressures associated with assisted reproductive treatments can contribute to anxiety, depression, relationship stress, sleep difficulties, and emotional exhaustion.

At the same time, women who already have a mental health condition may have concerns about planning pregnancy, psychiatric medications, treatment decisions, and the possibility of relapse during pregnancy or after childbirth.

Our clinic offers support throughout the fertility journey, including:

• Emotional support during fertility and infertility treatment
• Assessment and treatment of anxiety and depression
• Psychological support during assisted reproductive treatments
• Support following pregnancy loss
• Preconception mental health planning
• Review and management of psychiatric medications when planning pregnancy
• Coordination between gynecological and mental health care
• Support for partners and families when appropriate

You deserve care for both your emotional health and your reproductive health. With a gynecologist and mental health professionals working together, we can provide coordinated care that recognizes the whole person, not just the fertility concern or the psychiatric diagnosis.

Perimenopause and menopause

A new phase of life. A different kind of support.

Perimenopause and menopause are natural transitions, but that does not mean every woman has to struggle through them without support.

Changing hormone levels during this phase can be accompanied by changes in mood, sleep, anxiety, concentration, energy, and emotional wellbeing. Women may also be navigating changes in relationships, work, family responsibilities, physical health, and identity at the same time.

You may notice:

• Increased irritability or emotional sensitivity
• Anxiety or persistent worrying
• Low mood or loss of interest
• Sleep problems
• Brain fog or difficulty concentrating
• Reduced energy and motivation
• Mood fluctuations
• Increased stress or feeling overwhelmed
• Changes in confidence or sense of wellbeing

Sometimes these symptoms are attributed simply to "menopause," while significant mental health concerns may go unrecognized. Our clinic provides an opportunity to look at the whole picture.

Dr. Pragnia Poloju can assess reproductive and menopausal concerns, while our mental health specialists evaluate psychological symptoms and provide appropriate treatment. This integrated approach helps ensure that important physical and psychological factors are considered together.

PsyOG program at Synapse Mind Clinics

A complete perspective on women's wellbeing.

Women's mental health does not exist in isolation from reproductive and hormonal health. Whether you are struggling before your periods, navigating fertility challenges, planning a pregnancy, adjusting after childbirth, or experiencing emotional changes during perimenopause or menopause, you deserve care that understands the connection between your body and mind.

Why choose our clinic?

• Specialized women's mental health care. Mental health care tailored to the unique experiences and needs of women.
• Gynecology and psychiatry under one roof. Your reproductive and mental health concerns can be assessed together.
• Personalized treatment. There is no single solution for every woman. Your treatment plan is developed around your symptoms, health, circumstances, and preferences.
• Confidential and non-judgmental care. A safe space where you can talk openly about concerns that may be difficult to discuss elsewhere.
• Collaborative care. Where appropriate, Dr. Pragnia Poloju and our mental health professionals work together to provide coordinated care.
• Care across the lifespan. From menstrual health and PMDD to fertility, pregnancy, postpartum concerns, perimenopause, and menopause.

These concerns are real, and help is available

• Severe mood changes before your periods
• The emotional strain of infertility
• Anxiety while planning a pregnancy
• Feeling unlike yourself after childbirth
• Mood and sleep changes during perimenopause
• Persistent sadness, irritability, or anxiety during menopause

Take the first step towards feeling like yourself again. Consult our Women and Perinatal Mental Health team at the PsyOG program for an integrated assessment that brings together mental health and gynecological expertise. Read more about Dr. Pragnia Poloju or our Women and Perinatal Mental Health Clinic.