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  • Dr. Darshana Choudhari

Dr. Darshana Choudhari

MBBS, MS, DNB (OBGY)

Menstrual disorders

Menstrual disorders encompass a range of abnormal menstrual patterns and symptoms that may affect women's reproductive health and quality of life. Gynecologists provide specialized services to diagnose, manage, and treat various menstrual disorders, ensuring optimal health and well-being.

Common Types of Menstrual Disorders:

1. Dysmenorrhea (Painful Periods)

Dysmenorrhea refers to severe menstrual cramps or pain that occurs just before or during menstruation, which can interfere with daily activities.

Gynecological Services:

  • Pain Management: Prescribing nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen to relieve pain and reduce inflammation.
  • Hormonal Treatments: Recommending hormonal contraceptives (birth control pills, hormonal IUDs) to regulate menstrual cycles and alleviate symptoms.
  • Lifestyle Modifications: Advising on heat therapy, exercise, dietary changes (e.g., reducing caffeine and alcohol intake), and relaxation techniques to manage pain.
  • Alternative Therapies: Suggesting complementary approaches like acupuncture or herbal supplements to supplement pain relief strategies.

2. Irregular Periods

Irregular periods involve variations in the menstrual cycle length or timing, including infrequent or frequent menstruation, or unpredictable bleeding patterns.

Gynecological Services:

  • Diagnostic Evaluation: Conducting a comprehensive assessment to identify underlying causes such as hormonal imbalances (e.g., thyroid disorders, polycystic ovary syndrome), stress, weight fluctuations, or structural abnormalities (e.g., uterine fibroids).
  • Hormonal Therapies: Prescribing hormonal contraceptives or hormone replacement therapy to regulate menstrual cycles and restore regularity.
  • Treatment of Underlying Conditions: Addressing identified health conditions through medication, lifestyle changes, or surgical intervention as necessary.

3. Heavy Periods (Menorrhagia)

Menorrhagia refers to abnormally heavy or prolonged menstrual bleeding that may lead to anemia, fatigue, and interference with daily activities.

Gynecological Services:

  • Medical Management: Prescribing medications such as hormonal contraceptives, tranexamic acid (to reduce bleeding), or nonsteroidal anti-inflammatory drugs (NSAIDs) to manage symptoms.
  • Minimally Invasive Procedures: Offering options like endometrial ablation (removal or destruction of the uterine lining) or insertion of a hormonal intrauterine device (IUD) to reduce menstrual flow.
  • Surgical Interventions: Performing procedures like hysterectomy (removal of the uterus) in severe cases or when conservative treatments have not been effective.