Menstrual Disorders

Understanding Your Cycle and Finding Relief

Common Menstrual Problems

Changes in your menstrual cycle can have a big impact on daily life — affecting comfort, mood, and overall wellbeing. Menstrual disorders can present in many ways, including:

Heavy bleeding (Menorrhagia)

Periods that are unusually heavy or prolonged can cause fatigue, anaemia, and disruptions to everyday life.

Painful periods (Dysmenorrhoea)

Severe cramping or pain that limits daily activities should not be considered “normal.”

Irregular periods

Cycles that are unpredictable — too frequent, too infrequent, or absent — can indicate hormonal imbalances or other underlying conditions.

Premenstrual syndrome (PMS) and PMDD

Emotional and physical symptoms before periods that are severe enough to affect your quality of life.

Bleeding between periods

Unexpected bleeding outside of your normal cycle deserves careful investigation.

What Causes Menstrual Disorders?

There are many possible causes, including:

  • Hormonal imbalances (such as thyroid conditions or PCOS)

  • Fibroids or polyps

  • Endometriosis or adenomyosis

  • Blood clotting disorders

  • Medications

  • Stress and lifestyle factors

Dr. Tourani will work closely with you to identify the cause and guide you towards the right treatment.

Diagnosis and Testing

During your consultation, Dr. Tourani may recommend:

  • A detailed health history and physical examination

  • Blood tests to check hormone levels

  • Pelvic ultrasound to look for structural issues

  • Other tests if needed, depending on your symptoms

Treatment Options

Treatment is personalised based on the cause and your preferences, and may include:

  • Hormonal treatments (e.g., oral contraceptives, IUDs)

  • Non-hormonal medication

  • Surgical options if necessary (e.g., fibroid removal, endometrial ablation)

  • Lifestyle advice to support menstrual health

Your Comfort Matters

Dr. Affie Tourani provides thoughtful, personalised care to diagnose and treat a wide range of menstrual issues, helping you regain control and feel your best. Her goal is to help you feel heard, understood, and empowered. Menstrual symptoms should never be dismissed — if your periods are affecting your life, help is available.