Home > Obstetrics Gynaecology >Menstrual Disorder
Menstrual Disorders Treatment in Mumbai
At Shree Hospitals, we provide thorough and personalised evaluation and treatment for the full range of menstrual disorders affecting women of all ages. Whether you are dealing with periods that are too heavy, too painful, too irregular, too frequent, or absent altogether, our gynaecology team takes every menstrual concern seriously.
Menstrual disorders are not something women should simply accept or push through. They are genuine medical conditions with identifiable causes and effective treatments that can significantly improve your quality of life and overall health
Periods that are excessively heavy, last longer than 7 days, come too frequently, are absent, are severely painful, or are completely unpredictable are all forms of menstrual disorder that deserve proper gynaecological evaluation.
(24×7 Emergency Care)

Our Approach
(24×7 Emergency Care)
Our Approach In Managing Menstrual Disorders
At Shree Hospitals, we understand that menstrual disorders can affect every aspect of a woman's daily life, from her ability to go to work or school to her relationships, her mental health, and her plans for the future.
Our gynaecology team takes a structured and thorough approach to evaluating every menstrual concern, identifying the underlying cause, and selecting the most appropriate treatment, whether that is a simple hormonal medication, a minor surgical procedure, or management of an underlying systemic condition.
- Thorough Evaluation and Cause Identification
Menstrual disorders can be caused by a wide variety of conditions affecting the hormones, the uterus, the ovaries, the thyroid, blood clotting, or other systemic health factors. Our specialists use a detailed history, clinical examination, targeted blood tests, and pelvic ultrasound to identify the specific cause of your menstrual problem before recommending any treatment.
- Hormonal Panel Including FSH, LH, Prolactin, TSH, and Testosterone
- Pelvic Ultrasound for Structural Causes Including Fibroids and Polyps
- Hysteroscopy for Direct Uterine Cavity Assessment When Indicated
- Coagulation Studies for Women With Heavy Bleeding From an Early Age
- Heavy Menstrual Bleeding (Menorrhagia) Management
Heavy periods that require changing protection more than hourly, that pass large clots, or that last longer than seven days are a significant medical concern and a common cause of iron deficiency anaemia. Our team identifies the cause of heavy bleeding and offers a range of medical and surgical treatment options tailored to the patient's age, desire for future pregnancy, and personal preferences.
- Tranexamic Acid and NSAIDs for Immediate Bleeding Control
- Combined Oral Contraceptive Pills or Progestin Therapy
- Levonorgestrel-Releasing IUS for Long-Term Heavy Bleeding Management
- Hysteroscopic Endometrial Ablation for Women Who Have Completed Their Family
- Painful Periods (Dysmenorrhoea) Treatment
Period pain significant enough to interfere with daily activities is not normal and should always be investigated for an underlying cause. Our team distinguishes between primary dysmenorrhoea caused by prostaglandins without structural pathology and secondary dysmenorrhoea caused by conditions such as endometriosis, adenomyosis, or fibroids, and tailors treatment accordingly.
- NSAID Therapy for Primary Dysmenorrhoea Pain Management
- Investigation and Treatment of Underlying Endometriosis or Adenomyosis
- Hormonal Suppression for Secondary Dysmenorrhoea Management
- Laparoscopy for Definitive Diagnosis and Surgical Treatment When Indicated
- Irregular Periods and Ovulatory Dysfunction Management
Irregular periods, missed periods, or periods that come too frequently are almost always driven by hormonal imbalance. PCOS is the most common cause in reproductive-age women. Thyroid disorders, elevated prolactin, premature ovarian insufficiency, and hypothalamic amenorrhoea from stress or under-eating are other important causes that require specific management.- Hormonal Investigation and Cause-Specific Treatment Planning
- PCOS Management With Metformin and Cycle Regularisation Therapy
- Thyroid and Prolactin Disorder Treatment for Menstrual Restoration
- Hormone Replacement for Premature Ovarian Insufficiency Management
- Absent Periods (Amenorrhoea) Investigation and Treatment
Absence of periods for three or more months in a woman who previously had regular cycles, or the absence of periods by age 16, requires thorough investigation. The causes range from pregnancy, thyroid disorders, and PCOS at one end of the spectrum to premature ovarian insufficiency and hypothalamic amenorrhoea at the other. Correct diagnosis is essential because the management is entirely different for each cause.- Pregnancy Test as the First Mandatory Investigation for Absent Periods
- Hormonal Evaluation Including FSH, LH, AMH, TSH, and Prolactin
- Pelvic Ultrasound and MRI When Structural Causes Are Suspected
- Bone Density Assessment for Women With Prolonged Oestrogen Deficiency
How To Identify Menstrual Disorders?
A normal menstrual cycle occurs every 21 to 35 days, lasts between 2 and 7 days, involves blood loss of around 30 to 80 millilitres per cycle, and is accompanied by mild to moderate cramps that do not significantly interfere with daily activities. Any significant deviation from this pattern warrants medical evaluation to identify whether an underlying condition is present.
Heavy menstrual bleeding or menorrhagia is one of the most common menstrual complaints. Signs of excessively heavy periods include needing to change sanitary towels or tampons every hour or more frequently for several consecutive hours, passing large blood clots, soaking through clothing or bedding, and symptoms of anaemia including fatigue, paleness, breathlessness, and dizziness between periods.
Severely painful periods or dysmenorrhoea is another extremely common and often underappreciated menstrual disorder. Period pain severe enough to cause vomiting, fainting, prevent attendance at school or work, or require strong prescription painkillers every month is not normal and should always be investigated rather than simply treated with over-the-counter pain relief indefinitely.
Irregular periods are defined as a cycle length that varies by more than seven to nine days between cycles. Some degree of variation is normal, particularly in adolescence and during perimenopause, but significant irregularity in a woman of reproductive age between these life stages usually indicates a hormonal problem requiring investigation.
Absent periods or amenorrhoea, either the failure to start periods by age 15 in adolescent girls or the cessation of previously regular periods for three or more consecutive months, requires a thorough investigation to identify the cause. Absent periods carry significant health implications beyond fertility, particularly regarding bone health if oestrogen levels are low.
Premenstrual syndrome and premenstrual dysphoric disorder, where symptoms of mood change, irritability, bloating, breast tenderness, and fatigue significantly interfere with daily life in the week before periods, are also recognised medical conditions that benefit from targeted gynaecological and psychological management.
Contact Shree Hospitals on 1800-268-4000 to book a menstrual disorder evaluation with our specialist gynaecology team in Mumbai today.
Important FAQs: Menstrual Disorders
How do I know if my period is too heavy?
A normal period involves total blood loss of approximately 30 to 80 millilitres per cycle. In practical terms, a period is considered too heavy if you need to change your sanitary towel or tampon more frequently than every hour or two for several consecutive hours, if you are passing blood clots larger than a 50-rupee coin regularly, if your period lasts longer than seven days, if you find yourself restricting social activities or missing work or school because of your period, or if you are experiencing symptoms of anaemia such as persistent tiredness, paleness, and breathlessness between periods. Any of these signs warrant a visit to our period problem doctor in Mumbai for proper evaluation.
Is it normal to miss periods occasionally?
Occasional irregularity in cycle length is normal, particularly around significant life events involving stress, illness, dramatic changes in weight or exercise level, or during the year or two around the beginning and end of the reproductive years. However, missing three or more consecutive periods when you are not pregnant and are not approaching menopause is not normal and should be investigated. Conditions including PCOS, thyroid disorders, elevated prolactin from a pituitary adenoma, premature ovarian insufficiency, and hypothalamic amenorrhoea from excessive exercise or under-eating are all treatable causes of missed periods.
What is adenomyosis and how is it different from endometriosis?
Adenomyosis is a condition where the tissue that normally lines the uterine cavity grows into the muscle wall of the uterus itself. This causes the uterus to become enlarged and boggy and leads to very heavy, painful periods and sometimes chronic pelvic pain. It is different from endometriosis, where similar tissue grows outside the uterus entirely on other pelvic structures. The two conditions can coexist and share some symptoms, but they are distinct conditions with different patterns of disease and different treatment implications. Adenomyosis is diagnosed primarily by ultrasound or MRI and managed with hormonal treatments or in definitive cases with hysterectomy
Can stress cause menstrual irregularity?
Yes. The hypothalamus, which is the part of the brain that controls hormone release, is directly responsive to physical and psychological stress. Significant stress can disrupt the hypothalamic-pituitary-ovarian hormonal axis, leading to delayed or missed ovulation and consequently irregular or absent periods. This is why women commonly notice menstrual irregularity during periods of high stress at work or in personal life, after major illness, during periods of intense exercise, or with significant weight changes. While stress-related menstrual changes usually resolve when the stressor passes, persistent irregularity lasting more than three months should be evaluated to rule out other causes.
What is the difference between PMS and PMDD?
Premenstrual syndrome (PMS) refers to a collection of physical and emotional symptoms including bloating, breast tenderness, headaches, irritability, and low mood that occur in the week before menstruation and resolve when the period begins. PMS is common and affects the majority of women to some degree. Premenstrual Dysphoric Disorder (PMDD) is a more severe form affecting approximately 3 to 8 percent of women in which the psychological symptoms, particularly severe depression, anxiety, irritability, and mood swings, are significant enough to substantially interfere with work, relationships, and daily functioning. PMDD is a recognised medical condition that benefits from structured management including lifestyle interventions, SSRIs, and hormonal therapy.
When should I see a gynaecologist for menstrual problems in Mumbai?
You should visit our menstrual disorder hospital in Mumbai for a specialist consultation if your periods are consistently too heavy, too painful, too irregular, or absent, if menstrual symptoms are significantly affecting your ability to work, study, exercise, or maintain normal social activities, if you have been taking painkillers every month for years without investigating the underlying cause, if you are experiencing symptoms of anaemia related to heavy periods, if you have recently noticed a significant change in your previously regular cycle, or if you are concerned about your menstrual health for any reason. Do not accept poor menstrual health as normal. Call 1800-268-4000 to book your gynaecology appointment at Shree Hospitals today.
When should I see an endometriosis specialist in Mumbai?
See our endometriosis doctor in Mumbai if your period pain is severe and affecting your quality of life, if you have chronic pelvic pain, pain during sex, or pain with bowel movements especially during menstruation, if you have been trying to conceive for more than six months without success, if you have been diagnosed with endometriosis elsewhere but are not satisfied with your current management, or if a previous endometriosis surgery has not adequately relieved your symptoms. Call 1800-268-4000 to book a specialist consultation at Shree Hospitals today.
Treatments For Menstrual Disorders at Shree Hospitals
Menstrual disorder treatment in Mumbai at Shree Hospitals is always based on identifying the specific cause of the problem first. Our treatments range from medical management with hormonal and non-hormonal medications to minimally invasive surgical procedures including hysteroscopic intervention, endometrial ablation, and laparoscopic treatment of underlying structural causes such as endometriosis, fibroids, and polyps.
Levonorgestrel-Releasing Intrauterine System (LNG-IUS)
The LNG-IUS is a highly effective treatment for heavy menstrual bleeding that releases a small amount of progestogen locally within the uterus, reducing menstrual blood loss by up to 90 percent in most users within three to six months of insertion. It also provides highly effective long-term contraception and is suitable for women who wish to preserve their fertility as it is fully reversible when removed
Hysteroscopic Surgery for Menstrual Disorders
Hysteroscopy allows direct visualisation inside the uterine cavity through the cervix without any surgical cuts. Our hysteroscopic surgeons use this technique to remove uterine polyps and submucosal fibroids that cause heavy or irregular bleeding, correct uterine septae that can cause abnormal bleeding and miscarriage, and treat Asherman syndrome adhesions that cause absent periods.
Endometrial Ablation for Heavy Periods
Endometrial ablation destroys the lining of the uterus using thermal energy, permanently reducing or eliminating menstrual bleeding in women who have completed their family and do not wish to have further pregnancies. It is a day-case procedure performed hysteroscopically without any external incisions, with most patients returning to normal activities within a few days and experiencing dramatically lighter periods as a result
Hormonal Management of Irregular and Painful Periods
Our gynaecology team offers a full range of hormonal management options for irregular periods and dysmenorrhoea including combined oral contraceptives, progestin therapy, GnRH analogues, and non-hormonal medications such as tranexamic acid and NSAIDs. All prescriptions are based on the specific cause identified on investigation and tailored to the individual patient's age, symptoms, and reproductive plans
Obstetricians & Gynaecologists in Mumbai
Dr. Jay Mehta
Fertility & Endometriosis Specialist
Dr. Sharda Arvind
Gynecologists
Dr. Juhi Kedare
Obstetric & Gynaecologist
Dr. Sandhya Saharan
Obstetrician & Gynaecologist

Tele consultation/2nd Opinion
Schedule Consultation




