Abnormal Bleeding

This includes a spectrum of bleeding problems from heavy periods (menorrhagia), irregular bleeding, intermenstrual bleeding, and post-coital bleeding from intercourse. Irregular bleeding can be caused by a wide range of factors, from hormone imbalances to fibroids to cervical lesions and even cancerous growth in rare cases.

How is it diagnosed?

A gynaecological exam and, in many situations, a pelvic scan are standard diagnostic procedures. Additional tests, such as Colposcopy (cervix examination) and Hysteroscopy (examination of the uterine cavity), may be required in some instances.


Treatment is tailored to the patient's needs. Tranexamic acid, NSAIDs, or hormonal contraceptives like the pill or the Mirena intrauterine system may be used as medical therapies.

Surgical Intervention includes:

  • Endometrial ablation
  • Hysteroscopic resection of fibroids or polyps
  • Myomectomy (removal of fibroids)
  • Hysterectomy- usually Laparoscopic or VNOTE