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Obstetrics and Gynaecology

Assessment of menstrual irregularities

Examination, ultrasound and hormone assessment to understand the cause of infrequent, frequent, prolonged or painful periods.

Obstetrics & Gynaecology The examination usually takes 20–30 min
This page is for information only; please consult a doctor for diagnosis and treatment.

What is it?

Although every cycle is different, marked changes may warrant an assessment. Hormonal imbalance, polycystic ovary syndrome, thyroid disorders, fibroids or polyps can all affect the menstrual cycle. The possible cause is investigated through examination and appropriate tests, and the treatment approach is planned individually.

Assessment of menstrual irregularities

Who is it for?

  • Those whose periods come more often than every 21 days or less often than every 35 days
  • Those with very heavy bleeding or periods lasting longer than 7 days
  • Those whose period pain affects daily life
  • Those who notice bleeding between periods or after intercourse

How does it work?

  1. Cycle history

    Your period calendar, the amount of bleeding and any accompanying symptoms are discussed in detail.

  2. Examination and ultrasound

    The womb and ovaries are assessed by examination and ultrasound.

  3. Tests

    Hormone, thyroid and blood count tests are requested if needed.

  4. Follow-up plan

    Depending on the findings, monitoring, lifestyle advice or treatment options are discussed together.

Afterwards and recovery

After the assessment you may be asked to keep a period diary for a few cycles. Response to treatment varies from person to person, and the timing of follow-up is set by the doctor.

Frequently asked on this topic

Why is a period diary useful?
When the start date, length and heaviness of each period are recorded, changes in the cycle can be assessed far more clearly. A phone app or a simple notebook is enough.
How is polycystic ovary syndrome diagnosed?
The diagnosis does not rest on a single test; the menstrual pattern, hormone levels and ultrasound findings are assessed together.
This page is for information only; please consult a doctor for diagnosis and treatment. In an emergency, call 112.