Menstrual Disorders and Menstrual Cycle Management

The menstrual cycle is a natural and essential aspect of reproductive health for women. However, for some, it can be accompanied by a range of challenges known as menstrual disorders. These disorders can disrupt a woman's daily life and may indicate underlying health concerns. Proper menstrual cycle management involves understanding the various menstrual disorders, and their causes, and implementing effective strategies to promote menstrual health. 

Common Diseases Treated By The Department

  • Menorrhagia: Menorrhagia is characterized by heavy menstrual bleeding that lasts longer than seven days. The department provides various treatments to address this condition, including medications, endometrial ablation, and surgical interventions.
  • Metrorrhagia: Metrorrhagia refers to irregular bleeding between menstrual periods. Evaluation and management may involve hormonal therapy, diagnostic procedures, or surgery, depending on the underlying cause.
  • Dysmenorrhea: Dysmenorrhea is severe menstrual pain that can be caused by conditions such as endometriosis or uterine fibroids. Treatment options include pain medications, hormonal therapy, or minimally invasive procedures.
  • Amenorrhea: Amenorrhea is the absence of menstrual periods, which can result from factors like pregnancy, hormonal imbalances, or underlying medical conditions. The department evaluates the cause of amenorrhea and provides appropriate treatments.
  • Oligomenorrhea: Oligomenorrhea is characterized by infrequent or irregular menstrual periods. The department assesses underlying causes and offers treatments to regulate the menstrual cycle.
  • Polycystic Ovary Syndrome (PCOS): PCOS is a common hormonal disorder in which the ovaries produce excess androgens, leading to irregular periods, anovulation, and other symptoms. Treatment includes hormonal therapy, lifestyle modifications, and management of associated conditions like insulin resistance.
  • Endometriosis: Endometriosis involves the growth of uterine tissue outside the uterus, leading to painful periods and abnormal bleeding. Treatment may include pain management, hormonal therapy, or minimally invasive surgery.
  • Uterine Fibroids (Myomas): Uterine fibroids are noncancerous growths in the uterus that can cause heavy bleeding and painful periods. The department offers medical management, minimally invasive procedures, or surgery for fibroid treatment.
  • Asherman's Syndrome: Asherman's syndrome is characterized by the formation of intrauterine adhesions or scar tissue. The department performs hysteroscopic procedures to remove adhesions and restore normal menstrual function.
  • Von Willebrand Disease: This bleeding disorder can lead to heavy menstrual bleeding. Treatment options include medications and interventions to manage bleeding episodes.
  • Adenomyosis: Adenomyosis involves the infiltration of endometrial tissue into the uterine muscle, causing heavy bleeding and painful periods. The department offers hormonal therapy and minimally invasive treatments for adenomyosis.
  • Thyroid Disorders: Thyroid conditions, such as hypothyroidism or hyperthyroidism, can affect menstrual regularity. Management includes thyroid hormone replacement or anti-thyroid medications.
  • Bleeding Disorders: Various bleeding disorders, such as von Willebrand disease or platelet disorders, can contribute to heavy menstrual bleeding. The department provides diagnostic evaluations and appropriate treatments.
  • Cervical Polyps: The presence of cervical polyps can lead to abnormal bleeding. Polypectomy or hysteroscopic removal may be performed.
  • Cervical and Endometrial Cancer Screening: The department conducts screenings and evaluations to detect cervical and endometrial cancers early, allowing for prompt treatment.

Key Procedures

Common procedures performed by this department include:

  • Endometrial Biopsy: An endometrial biopsy involves the sampling of a small amount of tissue from the lining of the uterus (endometrium). It is performed to diagnose conditions like endometrial hyperplasia, and uterine cancer, or to investigate the cause of abnormal uterine bleeding.
  • Hysteroscopy: Hysteroscopy is a minimally invasive procedure that allows the visualization of the inside of the uterus using a thin, lighted instrument called a hysteroscope. It can be used to diagnose and treat various uterine conditions, such as polyps, fibroids, adhesions, or anomalies.
  • Dilation and Curettage (D&C): D&C is a surgical procedure in which the lining of the uterus is scraped or suctioned out. It is performed to diagnose and treat conditions like abnormal bleeding, and endometrial polyps, or to obtain a sample for further testing.
  • Hysteroscopic Polypectomy: This procedure involves the removal of uterine polyps using a hysteroscope. It is commonly performed to treat heavy menstrual bleeding and diagnose the cause of abnormal bleeding.
  • Myomectomy: Myomectomy is a surgical procedure to remove uterine fibroids (myomas) while preserving the uterus. It can be performed through various approaches, including hysteroscopy, laparoscopy, or open surgery.
  • Endometrial Ablation: Endometrial ablation is a minimally invasive procedure that aims to destroy the lining of the uterus to reduce or eliminate heavy menstrual bleeding. Different techniques, such as thermal ablation or radiofrequency ablation, may be used.
  • Uterine Artery Embolization (UAE): UAE is a minimally invasive procedure in which small particles are injected into the uterine arteries to block blood flow to uterine fibroids. It is used to shrink fibroids and relieve symptoms like heavy bleeding.
  • Laparoscopic Procedures: Laparoscopic surgery may be performed to treat conditions contributing to menstrual disorders, such as endometriosis, ovarian cysts, or adhesions.
  • Cervical Polypectomy: Cervical polyps, which can cause bleeding between periods, may be removed during a simple in-office procedure called polypectomy.
  • Intrauterine Device (IUD) Insertion: Hormonal IUDs are often used to manage heavy menstrual bleeding, and their insertion is performed in the office setting.
  • Diagnostic Imaging: Imaging studies like transvaginal ultrasound, pelvic MRI, or saline infusion sonography may be used to evaluate the uterus and pelvic structures in cases of abnormal bleeding.
  • Hormonal Treatments: Various hormonal therapies, including birth control pills, hormonal IUDs, or GnRH agonists, may be prescribed to regulate the menstrual cycle and manage heavy bleeding.
  • Non-Hormonal Treatments: Non-hormonal options, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or antifibrinolytic medications, may be used to control heavy menstrual bleeding.

Key Advantages

  • Expertise in Women's Health: The department is staffed by healthcare professionals who specialize in the diagnosis and treatment of menstrual disorders, ensuring that patients receive expert care and personalized treatment plans.
  • Comprehensive Evaluation: Patients benefit from comprehensive evaluations, including detailed medical histories, physical examinations, and diagnostic tests, to determine the underlying causes of their menstrual disorders.
  • Accurate Diagnosis: The department uses advanced diagnostic tools and techniques, such as hysteroscopy, endometrial biopsy, and imaging studies, to accurately diagnose conditions contributing to menstrual irregularities.
  • Minimally Invasive Procedures: The department offers minimally invasive procedures like hysteroscopy and endometrial ablation, which often result in shorter recovery times, reduced pain, and smaller incisions compared to traditional surgery.
  • Fertility Preservation: For women who wish to preserve their fertility, the department provides treatment options that aim to address menstrual disorders while maintaining reproductive capabilities.
  • Pain Management: Patients with conditions like endometriosis or adenomyosis benefit from pain management strategies, including medication, hormone therapy, or minimally invasive procedures, to alleviate discomfort during their menstrual cycles.
  • Improved Quality of Life: Successful management of menstrual disorders can significantly improve a woman's quality of life by reducing pain, heavy bleeding, and other disruptive symptoms associated with these conditions.
  • Continuity of Care: Patients receive ongoing follow-up and support, ensuring that their treatment plans are adjusted as needed to achieve the best possible outcomes.

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Meet Our Doctors

Dr. Ruby Sehra

Principal Consultant

Uro Gynecology, Minimally Invasive Gynecologic Surgery, Menopausal and Geriatric Gynecology, Menstrual Disorders and Menstrual Cycle Management, Pediatric and Adolescent Gynecology, Obstetrics and Gynaecology

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Dr. Ruby Sehra

Principal Consultant

Dr. Poonam Agarwal

Principal Consultant

Uro Gynecology, Minimally Invasive Gynecologic Surgery, Menopausal and Geriatric Gynecology, Menstrual Disorders and Menstrual Cycle Management, Pediatric and Adolescent Gynecology, Obstetrics and Gynaecology

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Dr. Poonam Agarwal

Principal Consultant

Dr. Renu Gupta

Principal Consultant

Uro Gynecology, Minimally Invasive Gynecologic Surgery, Menopausal and Geriatric Gynecology, Menstrual Disorders and Menstrual Cycle Management, Pediatric and Adolescent Gynecology, Obstetrics and Gynaecology

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Dr. Renu Gupta

Principal Consultant

Dr. Meenakshi Bansal

Sr. Consultant

Uro Gynecology, Minimally Invasive Gynecologic Surgery, Menopausal and Geriatric Gynecology, Menstrual Disorders and Menstrual Cycle Management, Pediatric and Adolescent Gynecology, Obstetrics and Gynaecology

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Dr. Meenakshi Bansal

Sr. Consultant

Dr. S Renubala

Consultant

Uro Gynecology, Minimally Invasive Gynecologic Surgery, Menopausal and Geriatric Gynecology, Menstrual Disorders and Menstrual Cycle Management, Pediatric and Adolescent Gynecology, Obstetrics and Gynaecology

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Dr. S Renubala

Consultant

Dr. Jyoti Sahu

Associate Consultant

Uro Gynecology, Minimally Invasive Gynecologic Surgery, Menopausal and Geriatric Gynecology, Menstrual Disorders and Menstrual Cycle Management, Pediatric and Adolescent Gynecology, Obstetrics and Gynaecology

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Dr. Jyoti Sahu

Associate Consultant

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