Relief for Heavy, Painful or Irregular Periods

Structured AUB workup (PALM-COEIN), ultrasound mapping and stepwise medical-to-surgical care

Book Menstrual Disorders Consultation

85–92%

Bleeding control

With guideline-based medical therapy in eligible AUB

2–6 wks

Symptom improvement

Typical window for cramps/flow reduction

>1 g/dL

Hb gain at 8–12 wks

With iron therapy and flow control

When to Consult

•Very heavy bleeding (soaking pad/tampon hourly) or large clots
•Periods lasting more than 7 days or cycles <21 or >35 days
•Severe cramps affecting work/school despite painkillers
•Bleeding between periods or after intercourse
•Dizziness, fatigue or pale skin suggesting anaemia
•New bleeding after 40 years or post-procedure changes

Understanding Menstrual Disorders in the Indian Context

In Hyderabad and across Telangana, anaemia is common and often worsened by heavy periods. Work and family duties make cramps and irregular cycles easy to ignore, but early evaluation prevents fatigue, missed days and future fertility issues. We tailor care to local diets and preferences with multilingual counselling.

When to Consult Our Menstrual Health Specialists

✓ Soaking a pad/tampon every hour or passing large clots
✓ Periods >7 days or cycles <21 or >35 days
✓ Severe cramps not relieved by OTC painkillers
✓ Bleeding between periods or after intercourse
✓ Dizziness, fatigue, pale skin (possible anaemia)
✓ New bleeding patterns after age 40

Our Diagnostic Approach

Baseline Tests

CBC, pregnancy test, TSH and prolactin; screen for infections where indicated.

Ultrasound Mapping

Transvaginal/abdominal USG to assess endometrium, fibroids, polyps and ovaries.

PALM-COEIN Classification

Identify structural vs non-structural AUB to guide therapy.

Endometrial Assessment

Office biopsy or hysteroscopy when risk factors or persistent AUB are present.

Treatment Pathways

We start with lifestyle and medical therapy, add hormonal IUD when suitable, and offer fertility-sparing procedures for polyps/fibroids. Endometriosis/adenomyosis receive targeted protocols. Definitive surgeries are considered only when other options fail and fertility is not desired.

What to Expect: Your Care Journey

First visit covers history, labs and ultrasound. Within 2–6 weeks, pain and flow usually improve; Hb rises with iron. We fine-tune therapy at 6–12 weeks and schedule follow-ups; WhatsApp check-ins support adherence and side-effect tracking.

Technology & Innovation

3D TVS and modern hysteroscopy towers enable accurate diagnosis and day-care treatment with small incisions and faster recovery. EMR reminders keep iron therapy and reviews on schedule.

Preventing Complications

We proactively prevent anaemia, sync treatment with fertility plans and watch for precancerous changes when risk factors exist. Education on red flags helps you seek timely care.

Why Ajuda for Menstrual Health?

🩸 Structured AUB pathways (PALM-COEIN)

🧪 Ultrasound + office hysteroscopy options

💳 Cashless TPAs with Aarogyasri support

Take the First Step

Heavy, painful or irregular periods are treatable. Call 9010550550 or message on WhatsApp to book your consultation today.

Diagnosis Approach

Baseline tests and pregnancy rule-out

CBC (anaemia), TSH, prolactin, urine/serum pregnancy test; screen for infections as indicated.

Ultrasound mapping

Transvaginal/abdominal USG for endometrium, fibroids, polyps and ovarian cysts; Doppler/3D when needed.

PALM-COEIN classification

Categorise AUB into structural (Polyp, Adenomyosis, Leiomyoma, Malignancy) vs non-structural (Coagulopathy, Ovulatory, Endometrial, Iatrogenic, Not classified).

Endometrial sampling / hysteroscopy

Office biopsy or hysteroscopy for persistent AUB, age >40, risk factors or USG abnormalities.

Treatment Options

Lifestyle & Nutrition Program

Iron-rich diet, low-inflammatory plan, hydration and exercise; period pain self-care toolkit.

Improves fatigue and pain tolerance; supports Hb recovery.

8–12 weeks with reviews

Medication Protocol

NSAIDs/antispasmodics for cramps; tranexamic acid for heavy flow; cyclic progesterone or combined OCPs to regulate.

30–60% flow reduction; pain relief in most patients.

Cycle-based with 6–12 week reassess

Hormonal IUD (LNG-IUS)

Long-acting option for heavy bleeding and cramps where suitable.

Up to 90% reduction in menstrual blood loss at 6–12 months.

3–5 years with follow-up

Targeted Fibroid/Polyp Care

Hysteroscopic polypectomy, myomectomy (hysteroscopic/laparoscopic) based on size, site and fertility goals.

Rapid symptom relief with fertility preservation.

Day-care or short stay

Endometriosis & Adenomyosis Pathway

Medical suppression or laparoscopy; physiotherapy and pain clinic support.

Meaningful pain reduction and improved function.

Individualised; 3–6 month checkpoints

Definitive Options

Endometrial ablation or hysterectomy for refractory cases after shared decision-making.

High satisfaction when other treatments fail.

Planned with recovery roadmap

Expected Outcomes

Treatment Timeline

2–4 Weeks

Pain relief begins; lighter flow in many patients.

6–8 Weeks

Cycle regularity improves; Hb trending up with iron.

3–6 Months

Sustained control with IUD/medications; post-procedure recovery complete.

1 Year+

Stable cycles; annual review and relapse prevention.

Success Metrics

PBAC score reduction
Hb improvement and fewer sick days
Pain scores and quality-of-life gains

Take Control of Your Period Health

Emergency

9010550550

contact@ajudahospitals.in

Related Services

Fibroid, Ovarian Cyst & Uterus Surgeries

Structural AUB often needs targeted procedures.

PCOD / PCOS Management

Cycle regulation and metabolic optimisation.