Menstrual Problems
Accurate diagnosis and effective treatment for every menstrual disorder — so you can live freely without pain, embarrassment or disruption.
Your Period Should Not Rule Your Life
Menstrual disorders affect up to 1 in 3 women of reproductive age and are the most common reason women visit a gynaecologist. Despite their prevalence, many women suffer in silence — normalising symptoms that are, in fact, very treatable.
Dr. Abha believes that no woman should accept debilitating periods as inevitable. With accurate diagnosis and a personalised treatment plan, most menstrual disorders can be managed effectively — restoring quality of life and, where desired, preserving or improving fertility.
Menstrual Disorders We Manage
Heavy Menstrual Bleeding (Menorrhagia)
Periods lasting >7 days or requiring >1 pad/tampon per hour. Causes include fibroids, polyps, adenomyosis, coagulopathy. Treated with hormones, IUS, or minimally invasive surgery.
Painful Periods (Dysmenorrhoea)
Primary (no cause) or secondary (endometriosis, fibroids, PID). Managed with NSAIDs, hormonal contraception, and surgical treatment of underlying causes.
Irregular Periods (Oligomenorrhoea / Amenorrhoea)
Cycles longer than 35 days or absent periods. Causes: PCOS, thyroid disease, hyperprolactinaemia, premature ovarian insufficiency, weight extremes, stress. Requires targeted hormonal investigation.
PCOS (Polycystic Ovary Syndrome)
The most common hormonal disorder in reproductive-age women — causing irregular cycles, excess androgens (acne, hair), weight gain and insulin resistance. Managed with lifestyle, metformin, and hormonal therapy.
Endometriosis
Uterine-lining tissue growing outside the uterus — causing severe dysmenorrhoea, deep dyspareunia, and infertility. Diagnosed by laparoscopy; treated with GnRH analogues or laparoscopic excision.
Uterine Fibroids
Benign muscular tumours of the uterus — causing heavy bleeding, pelvic pressure, and sub-fertility. Medical management with ulipristal or GnRH agonists; surgical options include myomectomy or hysteroscopic resection.
PMS / PMDD
Premenstrual Syndrome and its severe form, PMDD, cause significant physical and psychological symptoms in the luteal phase. Managed with lifestyle changes, SSRIs, CBT, or hormonal suppression.
Intermenstrual / Post-Coital Bleeding
Bleeding between periods or after intercourse requires prompt evaluation — causes include cervical ectropion, polyps, infection, or cervical pathology. Pap smear and colposcopy are performed as indicated.
