(Menorrhagia) Heavy Menstrual Bleeding Treatment in Mumbai
Table of Contents
What is Menorrhagia (Heavy Periods)?
Menorrhagia refers to abnormally heavy or prolonged menstrual bleeding that disrupts your quality of life. If you’re bleeding for more than 7 days, passing clots, or soaking pads hourly — this isn’t “normal,” and it needs evaluation.
Synonyms for Menorrhagia
- Heavy menstrual bleeding
- Abnormal uterine bleeding (AUB)
- Prolonged periods
- Excessive menstrual flow
- Flooding menstruation
- Severe menstrual bleeding
- Profuse menstruation
- Irregular heavy cycles
Symptoms of Menorrhagia
- Bleeding longer than 7 days
- Soaking one or more pads/tampons per hour
- Waking at night to change protection
- Passing clots larger than 1 inch
- Fatigue, dizziness, or shortness of breath (due to anemia)
- Pelvic pressure or cramping
How Heavy Periods Affect Your Life
Heavy menstrual bleeding does more than inconvenience — it isolates. You may:
- Avoid travel, work, or exercise
- Feel tired or breathless all month
- Constantly worry about stains, clots, or odor
- Miss opportunities, experiences, and peace of mind
💬 “I dreaded every cycle. I planned my life around my bleeding.”
Relief from Heavy Bleeding Starts Here
At Vardaan Hospital, Goregaon West, Dr. Dimple Doshi delivers:
- Accurate diagnosis using advanced imaging & lab work
- Minimally invasive surgery with 3D laparoscopic precision
- Tailored hormonal, non-hormonal, and device-based treatments
Care for PCOD/PCOS, fibroids, and endometrial abnormalities
Causes of Heavy Menstrual Bleeding
i. Structural Causes
- Uterine fibroids (submucosal, intramural)
- Adenomyosis
- Endometrial polyps
- Endometrial hyperplasia
- Endometriosis
ii. Hormonal & Endocrine Causes
- PCOD / PCOS – anovulation, unopposed estrogen
- Perimenopause – irregular hormonal shifts
- Thyroid dysfunction – hypothyroidism or hyperthyroidism
- Obesity-related estrogen dominance
iii. Infectious Causes
- Chronic Pelvic Inflammatory Disease (PID)
iv. Drug-Induced Bleeding
- Anticoagulants (e.g., warfarin, aspirin)
- NSAIDs, steroids, psychiatric medications
- Hormone replacement therapy (HRT)
v. Malignancy (Must Be Ruled Out)
- Endometrial cancer
- Cervical cancer
- Ovarian tumors (rare)
How is Menorrhagia Diagnosed?
Diagnosis includes a thorough evaluation of your history and targeted testing:
- Menstrual and symptom diary
- Physical and pelvic examination
- Transvaginal ultrasound (TVS)
- Blood tests: Hemoglobin, thyroid, hormones, clotting profile
- Endometrial biopsy (especially if over 35 or irregular bleeding)
- Hysteroscopy for uterine cavity assessment
- MRI pelvis – for adenomyosis or complex fibroids
- CT scan – in suspected malignancy, pelvic mass, or deep pelvic disease
Accurate diagnosis helps tailor the most appropriate treatment and rule out serious underlying causes.
When to Seek Help for Menorrhagia
Consult your gynecologist if:
- You soak through a pad or tampon every hour
- Bleeding lasts more than 7 days
- You experience fatigue or breathlessness during periods
- Clots are large or frequent
- You bleed between periods, post-intercourse, or postmenopause
You are over 40 and your bleeding pattern has changed
Menorrhagia Treatment Options in Mumbai
i. Medical Treatment
- Tranexamic acid / Mefenamic acid – to reduce bleeding
- Combined OCPs – regulate cycles
- Progestins – Norethisterone, Medroxyprogesterone
- Mirena IUD (levonorgestrel) – long-term endometrial suppression
- Metformin and weight control – for PCOD/PCOS-related bleeding
- Iron and folic acid – for anemia
ii. Minimally Invasive Surgical Options
- Hysteroscopy – for polyps or cavity evaluation
- Endometrial ablation – for non-cancerous thickened lining
iii. 3D Laparoscopic myomectomy or hysterectomy
Done with Karl Storz Rubina 4K 3D system for optimal precision and minimal downtime
Why Patients Trust Dr. Dimple Doshi?
- Over 27+ years of gynecology expertise
- Practicing at Vardaan Hospital, Goregaon West
- Pioneer in 3D laparoscopy for fibroids, AUB, and endometrial disorders
- Empathetic, honest consultations with clear patient education
Trusted by thousands of women across Mumbai
Frequently Asked Questions
Q1. Can PCOD/PCOS cause heavy periods?
Ans. Yes. Hormonal imbalance leads to thickened endometrium and heavy, irregular bleeding.
Q2. Do I always need surgery?
Ans. No. Many cases respond well to medicine or hormonal IUDs. Surgery is reserved for structural or persistent cases.
Q3. Are heavy periods dangerous?
Ans. They can lead to anemia, and in some cases may indicate cancer — timely evaluation is crucial.
Q4. Will treatment affect fertility?
Ans. Most treatments preserve fertility unless a hysterectomy is performed (which is rare for younger women).
ICD-10 Codes for Menorrhagia
- N92.0 – Excessive menstruation with regular cycle
- N92.1 – Excessive menstruation with irregular cycle
- N92.4 – Excessive bleeding in premenopause
- N92.5 – Other specified irregular menstruation
- N93.8 – Other specified abnormal uterine/vaginal bleeding
About Dr. Dimple Doshi
Dr. Dimple Doshi, MBBS, MD, DGO
Senior Gynecologist & Advanced Laparoscopic Surgeon
Founder – Vardaan Hospital, Goregaon West, Mumbai
With over 27 years of experience, Dr. Doshi specializes in diagnosing and treating fibroids, PCOD/PCOS, adenomyosis, abnormal uterine bleeding, and gynecological cancers, using cutting-edge 3D laparoscopy and compassionate care.