Gynaecology

Menstrual Problems

A regular, 28 day menstrual cycle is a dream for many women. Heavy, painful or irregular periods can occur, especially during adolescence and in the years prior to menopause.

Menstrual problems can be due to a variety of conditions.

“Functional” menstrual disturbances are the result of hormonal imbalance.

“Anatomical” causes include uterine fibroids, adenomyosis, endometrial polyps or endometrial hyperplasia.

Inherited blood clotting disorders like Von Willebrand’s disease can cause very heavy periods.

Endometrial cancer is a rare but dangerous cause of abnormal uterine bleeding. Cervical cancer and sexually transmitted infections can cause irregular “spotting”.

In all patients who are sexually active, it is important to exclude pregnancy as a cause of menstrual bleeding that is out of character with a woman’s normal menstrual cycle.

Happily, most menstrual problems can be controlled. A careful assessment will investigate:

  • your hormone levels
  • your blood clotting profile
  • the health of your uterus and cervix

Having reached the correct diagnosis, a therapeutic plan can be developed to control your period.