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.

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?
Cycle history
Your period calendar, the amount of bleeding and any accompanying symptoms are discussed in detail.
Examination and ultrasound
The womb and ovaries are assessed by examination and ultrasound.
Tests
Hormone, thyroid and blood count tests are requested if needed.
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.