Menstrual Disorders

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Irregular Period Treatment in Bandra, Mumbai

Dr. Sandhay Shah is well known for treating menstrual disorders in Mumbai. In Mumbai, she is a gynecologist-obstetrician specialist.

What are Menstrual Disorders?

Menstrual disorders include heavy bleeding, missed periods, and uncontrollable mood swings. They are disruptive physical and/or emotional symptoms that occur just before and during menstruation.

Some women experience little to no difficulty getting through their monthly periods. Their monthly periods are a minor annoyance that arrive like clockwork, beginning and ending at almost the same time each month.

Types of Menstrual Disorders

Irregular Periods

Irregular periods can be caused by many factors such as stress, weight changes, and hormonal imbalances. Some women may also experience irregular periods due to underlying medical conditions such as PCOS or thyroid problems. Depending on the underlying cause of irregular periods, there are several treatment options available:

Heavy Bleeding

Heavy Bleeding: Heavy bleeding during menstruation, also known as menorrhagia, can be caused by various factors such as hormonal imbalances, fibroids, and endometriosis. Some treatment options include

Painful Periods

Painful periods, also known as dysmenorrhea, can be caused by various factors such as endometriosis, Uterine Fibroids, and ovarian cysts.

Absence of Periods

The absence of periods, also known as amenorrhea, can be caused by various factors such as pregnancy, breastfeeding, and hormonal imbalances.

What is Heavy Menstrual Bleeding (Menorrhagia)?

Menorrhagia can be common at various stages of your life—during your teen years, you first begin to menstruate and in your late 40s or early 50s, as you get closer to menopause. Any vaginal bleeding after menopause isn't normal and should be evaluated immediately.

Heavy Menstrual Bleeding Can be Caused By:

  • Hormonal imbalances
  • Structural abnormalities in the uterus, such as polyps or fibroids

Doctors usually can treat most of the irregular period's problems successfully. This excessive bleeding can cause iron deficiency or diseases like Anemia in patients and might also signal an underlying medical condition.

If a patient has excessively heavy, prolonged or irregular menstrual bleeding, it is known as Menorrhagia. Its symptoms include a menstrual period that lasts longer than a week, and the patient needs to change her tampon or pad more than once per hour due to the heavy bleeding.

What the causes of Menorrhagia?


Some of the following options can cause menstrual Irregularities:

  • Pregnancy or breastfeeding: A missed period can be an early sign of pregnancy. Breastfeeding typically delays the return of menstruation after pregnancy.
  • Eating disorders, extreme weight loss or excessive exercising: Eating disorders — such as anorexia nervosa — severe weight loss and increased physical activity can disrupt menstruation.
  • Polycystic ovary syndrome (PCOS): Women with this common endocrine system disorder(PCOS) may have irregular periods and enlarged ovaries that contain small collections of fluid — called follicles — located in each ovary as seen during an ultrasound exam.
  • Premature ovarian failure: Premature ovarian failure refers to the loss of normal ovarian function before age 40. Women who have premature ovarian failure — also known as primary ovarian insufficiency — might have irregular or occasional periods for years.
  • Pelvic inflammatory disease (PID): is an infection of the reproductive organs that cause irregular menstrual bleeding.
  • Uterine fibroids: Uterine fibroids are noncancerous growths of the uterus. They can cause heavy menstrual periods and prolonged menstrual periods.


The doctors usually perform either one or a combination of the following diagnostic tests to pinpoint the cause of the menstrual irregularities:

  • Pap Smear: to check for various infections or cancerous cells
  • Blood Tests: to check for Anemia, blood-clotting problems, and thyroid function.
  • Pelvic Ultrasound: produce images of the patient's uterus, ovaries, and pelvis.
  • Endometrial Biopsy: takes a sample of the patient's uterine tissue for analysis.

Irregular Periods Treatment

The doctor usually performs the irregular period's treatment depending on the issues that cause the menstruation problems :

  • Puberty and menopause: Irregular periods during puberty or as the patient approaches menopause do not usually need treatment.
  • Birth control: If irregular menstruation is due to contraception, and it continues for several months, it is recommended that the patient approach the doctor for other options.
  • PCOS and Obesity: If the overweight or obese patient starts losing weight, it might help stabilize menstruation. Once the patient has reduced her weight, the body need not produce so much insulin, leading to lower testosterone levels and a better chance of ovulating.
  • Thyroid problems: The doctor might recommend treatment for the underlying problem by suggesting medication, radioactive iodine therapy or surgery.
  • Stress and eating disorders: The doctor might recommend psychological therapy if emotional stress, an eating disorder, or sudden weight loss have triggered irregular periods. This might include relaxation techniques, stress management, and talking to a therapist.

When to See a Doctor for Menstrual Disorders

It is important to seek medical attention if you experience any of the following symptoms:

  • Heavy bleeding that lasts for more than 7 days
  • Bleeding between periods
  • Severe cramps that interfere with daily activities
  • Absence of periods for more than 3 months
  • Irregular periods that occur frequently or suddenly

In conclusion, there are various treatment options available to help manage menstrual disorders. However, it is important to consult with a healthcare provider to determine the underlying cause of the disorder and develop an appropriate treatment plan.