GYNAECOLOGY · CONDITION GUIDE
Menstrual Disorders
A broad group of conditions affecting the regularity, frequency, duration, and volume of menstrual bleeding — including heavy periods, absent periods, and painful menstruation — that can significantly impact quality of life.
ABOUT THIS CONDITION
What is a Menstrual Disorder?
Menstrual disorders encompass a wide range of conditions, including heavy menstrual bleeding (menorrhagia), absent periods (amenorrhoea), irregular cycles (oligomenorrhoea), and painful menstruation (dysmenorrhoea). They may result from structural causes (fibroids, polyps, adenomyosis), hormonal imbalances, blood clotting disorders, or systemic conditions. Accurate diagnosis is essential before treatment. While many are managed medically, surgery is indicated when structural causes are identified or medical treatment fails. Dr. Ashwani Narla provides comprehensive menstrual disorder assessment and treatment at Lux Hospitals, Hyderabad.
SIGNS TO WATCH
Common Symptoms
Symptoms that need attention
WHY IT HAPPENS
Causes & Risk Factors
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Structural uterine abnormalities, polyps, fibroids, or adenomyosis, causing heavy bleeding
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Hormonal imbalance, including thyroid disorders, PCOS, or oestrogen/progesterone dysregulation
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Coagulation disorders, such as von Willebrand disease, reduce blood clotting ability
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Endometriosis causes painful and heavy menstrual cycles
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Chronic pelvic infection scarring the uterine lining
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Intrauterine devices (IUDs) or certain medications altering menstrual patterns
CLINICAL DETAILS
KeyFacts
Broad category including heavy, painful, absent, or irregular menstruation
Hysteroscopy, D&C, endometrial ablation, or hysterectomy in selected cases
Blood tests, ultrasound, and hysteroscopy identify the underlying cause
Uterine polyps and fibroids are the most common structural causes of heavy bleeding
Varies by procedure, from 1–2 days (hysteroscopy) to 4–6 weeks (hysterectomy)
Available at Lux Hospitals, Hitech City, Hyderabad
HOW WE TREAT IT
Treatment Approach
Hysteroscopy (Operative)
Direct visualisation and treatment of the uterine cavity identifies and removes polyps, fibroids, or other structural causes of abnormal bleeding.
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Consultation & Assessment
Dr. Ashwani Narla takes a thorough menstrual history, performs a pelvic examination, and arranges blood tests and an ultrasound to identify the underlying cause.
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Treatment Planning
A personalised plan addressing the specific disorder is created, medical management is first line; surgery is planned when indicated by structural or refractory causes.
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Surgical Procedure
Hysteroscopy identifies and treats intrauterine pathology. D&C, endometrial ablation, or hysterectomy is performed based on the diagnosis and patient preference.
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Follow-up
Follow-up assessment confirms symptom resolution and excludes recurrence or underlying pathology.
AVAILABLE TREATMENTS
TreatmentOptions
Hysteroscopy (Operative)
Direct visualisation and treatment of the uterine cavity identifies and removes polyps, fibroids, or other structural causes of abnormal bleeding.
Dilation and Curettage (D&C)
Scraping of the uterine lining to treat abnormal bleeding or obtain tissue for histological diagnosis is used in selected clinical scenarios.
Endometrial Ablation
Destruction of the uterine lining to permanently reduce or eliminate heavy menstrual bleeding, suitable when fertility preservation is not required.
Hysterectomy
Removal of the uterus is definitive treatment for heavy bleeding unresponsive to other interventions in women who have completed their family.
COMMON QUESTIONS
Frequently Asked Questions
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