Abnormal menstrual bleeding and pain are common reasons for presenting to a gynaecologist.
Abnormal bleeding can occur when menstrual periods are not regular, when bleeding is heavier than normal, when bleeding lasts longer than normal, or when bleeding patterns change. Abnormal bleeding may be due to fibroids, polyps, abnormal lining of the womb, foreign body (IUCD), hormonal imbalance or cancer of the womb.
Painful periods are a very common complaint and typically consists of crampy lower abdominal pains which start at the onset of menstruation. They are most usually harmless but may sometimes be due to other troublesome gynaecological causes. The most common form mainly affects the younger aged woman usually in her teens and is not associated with any pelvic problem of significance. The less common type of period pains occurs at a later age and can be due to a recognizable pelvic problem, such as endometriosis or pelvic infection.
Pelvic pain, on the other hand, is one of the most frequently misdiagnosed conditions in gynecology. Pelvic pain is often an elusive and debilitating condition. Pelvic pain may be due to pelvic infection or endometriosis. It is important a complete and thorough evaluation of the condition which includes a comprehensive history and gynaecological examination, possible blood tests and pelvic ultrasound scanning is performed. Treatment for pelvic pain must be individualized to the patient’s unique circumstances and may include medication, therapeutic options, alternative therapies or surgical intervention.