Menorrhagia ( Heavy periods), Amenorrhea ( Absence of periods), Dysmenorrhea ( Painful periods)

a. Management of Menorrhagia
Menorrhagia or excessive uterine bleeding during monthly periods is a common problem that affects as many as 1 in 5 women. Untreated this can lead to anemia due to chronic blood loss affecting the quality of life.

Hormonal imbalance, fibroids, endometriosis, malignancy are the most common causes of Menorrhagia.

Apart from medical intervention, Gems Specialty Clinic for Women offers minimal invasive surgery procedures that have revolutionized the management of Menorrhagia.

b. Management of Amenorrhea
Amenorrhea means an absence of periods. It is further classified as primary amenorrhea and secondary amenorrhea.

1. Primary amenorrhea: where periods have never started for a woman above 16 years old
2. Secondary amenorrhea: where a woman normally has periods but they have stopped for 6 months or more.

Amenorrhea may be caused by low body weight, thyroid problem, delayed puberty, prolonged strenuous exercise, stress, oral contraceptives, hormonal imbalances or premature menopause.

Treatment is determined by the etiology of the amenorrhea and the desires of the patient and is directed at correcting the underlying pathology.

Additionally, Primary amenorrhea and the potential for impaired fertility affect the emotional health of the adolescent and her family. Adolescence encompasses a broad spectrum of emotional maturity, which is considered by doctors at GEMS in assessment and treatment.

C. Management of Dysmenorrhea
Dysmenorrhea means painful periods and is classified into Primary and Secondary Dysmenorrhea.

Primary Dysmenorrhea may affect more than half of all women, and occurs with no known underlying cause. The pain in primary dysmenorrhea occurs from the contractions of the uterus. Secondary Dysmenorrhea is caused by an underlying gynaecological problem or condition such as:

The use of intra-uterine devices for contraception (not including the intra-uterine levonorgestrel-releasing system Mirena) has also been associated with dysmenorrhea and heavy bleeding.