Irregular & Heavy Periods in Delhi
Finding the cause of abnormal bleeding and treating it, medically or surgically.
What irregular & heavy periods involves
Periods that come unpredictably, last too long, or are heavy enough to cause anaemia are not something to live with. The causes range from PCOS and thyroid disease to polyps, fibroids, adenomyosis and, less commonly, endometrial pathology.
The investigation is quick and the treatment is usually straightforward once the cause is known. What matters is not simply suppressing the bleeding without asking why it is happening.
Who this is for
- Cycles shorter than 21 or longer than 35 days
- Bleeding for more than seven days, or flooding and clots
- Bleeding between periods or after intercourse
- Anaemia, fatigue or breathlessness from blood loss
Not everything on this list means you need this treatment. The workup comes first, and the recommendation follows from what it shows — not from what was booked before you arrived.
Step by step
Assessment
Cycle history, examination, haemoglobin, thyroid and prolactin, and a pelvic ultrasound.
Cavity evaluation
Saline sonography or hysteroscopy where a polyp or submucous fibroid is suspected.
Medical treatment
Tranexamic acid, hormonal treatment or a levonorgestrel IUS depending on the cause and your plans.
Surgical treatment
Hysteroscopic polypectomy or myomectomy, with ablation or hysterectomy only where appropriate.
Your results, in writing
Whatever the outcome of irregular & heavy periods, you leave each stage with the findings written down — what was done, what was found, what it means, and what the options are from here. Reports are issued the same day wherever the laboratory allows it.
Case study: Heavy bleeding, a haemoglobin of 6.8, and a simple cause
41, Paschim Vihar · heavy periods for two years · exhausted
What she came in with
Periods lasting nine days with flooding and clots, and increasing breathlessness climbing stairs. She had been prescribed iron tablets twice without anyone establishing why she was bleeding.
What the workup showed
Haemoglobin 6.8 g/dl with severe iron deficiency. Saline infusion sonography showed a 2.5 cm submucous fibroid. Endometrial biopsy — appropriate at her age — was benign with no hyperplasia. Thyroid function was normal.
What we did
Intravenous iron to correct the anaemia first, tranexamic acid for immediate symptom control, then hysteroscopic resection of the fibroid as a day case once she was fit for anaesthesia.
Outcome
Bleeding returned to four normal days. Haemoglobin was 12.4 g/dl at four months. No hysterectomy, no hormones.
The point of this case
She had been treated for the consequence twice without anyone looking for the cause. One scan and one day-case procedure resolved a problem she had lived with for two years.
Illustrative case. This is a composite of presentations commonly seen in this practice, written for explanation — it is not the record of an identifiable patient, and no individual's details are used. Outcomes vary, and nothing here is a prediction of what will happen in your case.
What is different about having this done here
Cause established before treatment is started
Anaemia treated properly, not ignored
Fertility-preserving options offered first
Endometrial sampling where age or risk factors warrant it
Treated by the consultant, not by a rotating team
Dr. Tiwari performs the scans, the procedure and the follow-up herself, and looks after any pregnancy that results. Over a long treatment course that continuity is the difference between being known and being processed.
- MBBS, MS (Obstetrics & Gynaecology), FNB (Reproductive Medicine)
- Over ten years in reproductive medicine and gynaecological surgery
- Consultations and scans at Mother's Hope, Katwaria Sarai; theatre work at SHE Delhi Hospital, Greater Kailash II
- Itemised costs given in writing before anything begins
Areas we see patients from
Both locations are in South Delhi. Patients travelling from further out have appointments grouped to cut down the number of trips.
Questions about irregular & heavy periods
When is heavy bleeding serious?
If you soak through protection hourly, pass large clots, or your haemoglobin is falling, it needs prompt attention.
Will I need a hysterectomy?
Rarely, and almost never as a first option in women who may want children. Most abnormal bleeding is controlled medically or by hysteroscopic surgery.
Talk it through before you commit
Consultations run for a full hour. Bring any previous reports — they are reviewed properly, not repeated.