Menstrual Bleeding & Irregular Period Treatment in Marathahalli

This page covers four related concerns: abnormal or heavy bleeding, constant menstrual pain, irregular menstrual cycles, and menopausal disorders. Each is evaluated on its own merits, though several often occur together.

Abnormal bleeding includes periods lasting more than seven days, soaking a pad every hour, passing clots larger than a rupee coin, bleeding between periods, or bleeding after intercourse or after menopause.

Common causes include fibroids, endometrial polyps, adenomyosis, hormonal imbalance, thyroid disorders, and, less commonly, endometrial pathology.

Evaluation starts with a pelvic ultrasound, blood counts, thyroid and prolactin testing, and endometrial assessment where age or scan findings warrant it.

Treatment is matched to the cause: hormonal medication to regulate bleeding, treatment of thyroid or prolactin abnormalities, or a procedure such as hysteroscopy where a polyp or fibroid is found.

Period pain that ordinary painkillers no longer control, or that has worsened over the years, is not something to accept as routine.

Causes considered include endometriosis, adenomyosis, fibroids and pelvic inflammatory disease.

Evaluation is by pelvic examination and transvaginal or abdominal ultrasound, with further imaging where endometriosis is suspected.

Treatment ranges from targeted pain relief and hormonal therapy to laparoscopic surgery where endometriosis or adhesions are confirmed.

Cycles that have become unpredictable, unusually far apart, or absent for three months or more, are assessed for an underlying hormonal cause.

Causes include PCOS/PMOS, thyroid dysfunction, raised prolactin, and perimenopause.

Treatment aims to correct the underlying hormonal imbalance and restore predictable cycles, or, where fertility is the goal, to support ovulation directly.

Perimenopausal and menopausal symptoms include irregular bleeding, hot flushes, mood change and vaginal dryness.

Evaluation confirms the cause of any bleeding before symptom management begins, since bleeding after menopause is always assessed rather than assumed to be hormonal.

Treatment options include hormone therapy, weighed against your personal and family history, and non-hormonal measures for symptom control.

1. Step

   01

   Consultation and history

   Bleeding pattern, symptom timeline and family history are reviewed.

   

2. Step

   02

   Assessment

   Pelvic ultrasound and, where indicated, endometrial assessment.

   

3. Step

   03

   Plan

   Hormonal or non-hormonal management is agreed based on your findings and preference.