Dr Dimple Doshi

(Menorrhagia) Heavy Menstrual Bleeding Treatment in Mumbai

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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

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.