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Patient Review Highlights
Heavy menstrual flow also known as Menorrhagia is one of the most common form of abdominal bleeding from uterus. Everyone has different periods, some might not even notice that time of the month, while others might suffer from heavy bleeding, feeling miserable and a constant worry of leaks and stains leading to embarrassing situations. Periods are considered to be heavy if a pad or tampon is soaked in blood every hour.
Other symptoms of heavy bleeding could be:
- Passing of large clots
- Bleeding at night which requires to get up to change a pad
- Any period that lasts for more than seven days
The causes of heavy bleeding during periods might be due to fibroids (noncancerous tumors of the uterus),
ectopic pregnancy, cervical cancer, pelvic inflammatory disease, use or blood thinners and problems with intrauterine device.
If you are one of those women who suffer from heavy menstrual flow and are quite hassled by the same then worry not here are some tips to deal the your problem.
- Keep a track of the periods as in when they start and the days with heavy bleeding. This helps you to track your next period and prepare yourself well for the same
- Low iron levels can cause heavy bleeding, thus maintaining the iron levels is a good idea
- Eating green leafy vegetables and taking multivitamins helps to maintain the iron levels
- Eat fruit and food with starch to maintain a good sugar level
- Hydrate yourself as it makes you feel less grumpy and miserable
- In case of severe cramps take some pain relievers like aspirin and ibuprofen. Even a hot water bottle is a great way to chase the blues and the cramps
- Get some sleep as one feels tired before the period and the days of the period. Listen to your body and don't push yourselves. Use extra protection in case you are worried about leakage
- Try using a menstrual cup as they have greater capacity as compared to tampons or pads. Also, one does not need to carry any supplies for the day
- Don't feel shy or embarrassed to talk about your condition
- You might need professional help and want to consult a doctor. Keeping a track of your period is good as doctors usually ask for the duration of the period and how heavy were they.
If you do not feel better with these tips a meeting with the doctor can predict the cause of the heavy flow and accordingly a medical treatment can be planned.
Medication for heavy bleeding might include any one or more of the following:
- Use of nonsteroidal anti-inflammatory drugs like ibuprofen
- Hormone Therapy for stabilizing the endometrium
- Tranexamic acid to promote blood clotting
- Dilation and curettage that is scraping of the uterus is done
- Hysteroscopy is where a long scope is inserted in the vagina and the lining of the uterus which causes bleeding is removed
- Endometrial resection is where the lining of the uterus is destroyed or removed and also makes it impossible to have babies after this
- Hysterectomy - This procedure is the surgical removal of cervix and uterus (If this procedure is done then it is impossible to make babies after this) If you wish to discuss any specific problem, you can consult a gynaecologist.
Sir I sex with my friend's wife, My question is, My friend is having sugar, Can we two of us (me and my friend) can do sex with his wife without using condom, And in how many days 1 one sex can b done, Is there any limit, Is there any problem if we do daily sex.?
Are you experiencing excessive uterine bleeding? Excessive uterine bleeding may occur between a woman’s periods or before the periods, after having sex, or due to the development of spotting or bleeding after attaining menopause. Any menstrual cycle, which lasts longer than 21–35 days is called excessive, and this is an abnormal form of uterine bleeding.
Causes of Excessive Uterine Bleeding:
The various causes of excessive uterine bleeding are as follows:
One of the main causes is hormonal imbalance, as the balance between estrogen and progesterone gets disrupted. This balance is required for the regulation and development of the lining of endometrium or uterus lining. Because of the hormonal imbalance, the endometrium develops excessively causing heavy bleeding.
Uterine fibroids, which are non cancerous tumours, may lead to prolonged and excessive uterine bleeding.
Polyps are small benign developments on the uterus lining which cause heavy bleeding. They occur because of high levels of hormones.
Adenomyosis is a condition which develops when the endometrium glands get embedded in the uterine muscle, leading to excessive uterine bleeding.
Using intrauterine devices or IUDs may cause side effects as well.
Several pregnancy complications may also lead to excess bleeding. Ectopic pregnancy is a common cause.
Several uterine cancers, ovarian cancers and cervical conditions may be responsible as well. Inherited bleeding disorders such as von Willebrand’s disease is another likely cause.
Several medicines and drugs, including NSAIDs and anticoagulants are a common cause.
Medical conditions such as pelvic inflammatory disease, endometriosis, liver and kidney disease or thyroid problems can also cause excessive uterine bleeding.
There are different ways of treating excessive uterine bleeding, depending upon the cause of bleeding and the patient’s age.
Medications: Several medicines are used for the treatment of abnormal uterine bleeding. Hormonal medicines and birth control pills are used to improve the regularity of periods. Non steroidal anti-inflammatory drugs are also used to manage excessive uterine bleeding. Several antibiotics are also used.
Surgery: In many cases, a woman has to undergo a surgery for the removal of polyps and fibroids, which cause excessive bleeding. Certain fibroids are removed via hysteroscopy and other techniques for treatment are used as well. Endometrial ablation can be carried out to manage the bleeding. This treatment aims at permanent reduction of the excess bleeding. Hysterectomy has to be carried out when other treatments are unsuccessful. This is a serious surgery and after it, a woman will no longer have periods, and she will not be able to conceive a child.
In case of excessive uterine bleeding, you must consult a doctor as soon as possible. This will enable early treatment and prevent the development of further complications. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Spotting can be stated as a form of mild bleeding from the vagina. It is similar to a period, but it is much lighter and can occur in between your periods. Most women who are pregnant and are in their first trimester experience spotting. In fact, spotting is often seen as one of the early signs of pregnancy.
Spotting can happen because of any of the following reasons:
- Cysts in the uterus can cause spotting
- Though very rare, a thyroid problem can also lead to spotting
- Any infection in the cervix or uterine cancer can also cause spotting
- Lastly, hormonal imbalance can also cause spotting
What can spotting signify?
Spotting is completely normal and there is no need to be worried if it happens on account of any of the following reasons.
- Light spotting at the end of the bleeding period during the menstrual cycle is common.
- Spotting can also occur during ovulation; in fact, seeing some spots of blood when one is ovulating, is often considered as an excellent sign of fertility.
- Mild spotting can also develop after sex, especially if it is for the first time, owing to the hymen getting ruptured
- Mild spotting if one is on birth control pills is also normal.
When should you be worried?
- Spotting is an early sign of pregnancy and if you are not planning to conceive any time soon, then you must visit your gynaecologist.
- Spotting may also be a symptom of any STD, primarily Chlamydia or Gonorrhea.
- As spotting could also be indicative of cancer, it’s advisable to not delay and consult the gynaecologist immediately.
The size of your belly is not the only thing that changes when you are pregnant. Pregnancy affects every part of a woman's body and visible changes can be noted as the pregnancy progresses. This is partly because of hormonal fluctuations and partly due to the strain of carrying excess weight.
Here are some of the changes you can expect to see when you are pregnant:
- Changes in the respiratory system: Along with eating for two, you are also breathing for two when pregnant. The increased oxygen consumption leads to increased rate of breathing, shortness of breath and elevated pH levels in the blood.
- Changes in the cardiovascular system: The cardiovascular system is readjusted at the time of pregnancy. This increases the volume of blood in the blood. The expanding uterus puts pressure on veins and arteries, thus slowing the circulation of blood. You may also notice an elevated resting heart rate and low blood pressure in the second trimester.
- Changes in the gastrointestinal system: The enlarging uterus displaces organs of the digestive system and allows stomach acid to travel back into the esophagus. This leads to acidity and heartburn. Pregnant women also often suffer from constipation.
- Changes in the breasts: As pregnancy progresses, your breasts may increase in size and be more sensitive than usual. The nipples will also begin to stick out more than normal. By the third trimester, you may also notice a discharge of early milk or colostrum.
- Changes in the abdomen: By the second trimester, the abdomen will begin to expand. As the ligaments and abdominal wall supporting the uterus are stretched, you may experience an ache on one side or the other.
- Changes in the urinary system: Pregnant women feel the urge to urinate frequently. This is because the expanding uterus puts extra pressure on the bladder, urethra and pelvic floor muscles. This may also lead to temporary urinary incontinence. Pregnancy also increases the load on the kidneys as they need to filter not only your own blood, but also that of the growing baby.
- Changes in the skin: As the skin on the body stretches to accommodate the growing uterus, stretch marks are one of the common visible changes. This may also be accompanied by hyperpigmentation of the nipples, face and abdomen along with the appearance of spider veins and reddening of palms.
Other common changes include, swelling of ankles, leg cramps, increased body temperature and changes in hair texture.
Can numerous fibroids and an enlarged uterus cause bladder prolapse? Why does my gynecologist think my bladder bulging into my vaginal canal is a fibroid even after I was sent to a urologist for stress incontinence issues?
If masturbation is done daily will it be harmful in pregnancy and will it not help to keep the women pregnant. Please advise.
Pelvic Inflammatory Disease (PID) is a common infection in the female reproductive organs like the ovaries, the uterus and the fallopian tubes and also the inside of the pelvis. If left untreated for a long time, PID can lead to severe problems like pregnancy complications, infertility and cancer.
- Cause: Sexually Transmitted Diseases (STD) like chlamydia and gonorrhea produce vaginal bacteria which travel to the interior organs and cause PID. Having unprotected sexual contact with someone who has an STD is the most common cause of PID. Moreover, medical processes like abortion, miscarriage, childbirth, insertion of contraceptive devices can also lead to bacterial infection. Having sex with a number of people, or having sex before the age of 20, or having had an STD in the past, also increase the chances of Pelvic Inflammatory Disease.
- Symptoms: The disease may show only minor symptoms or it may not show any symptom at all. When it does, the common symptoms are pelvic pain, discomfort while urinating or having intercourse, difficulties with menstruation and unusual fluid discharge from the vagina.
- Associated symptoms: High fever, nausea, vomiting, indigestion, exhaustion, shivering and fainting.
- Diagnosis: A pelvic examination is conducted to check for abnormal bleeding from the cervix (the opening of the uterus), fluid discharge or severe pain in the uterus, fallopian tubes or in the ovaries. Swabs taken from the cervix and the vagina are tested for STDs or other possible bacterial infections that may cause PID. An ultrasound or a Computerized Tomography (CT) scan is conducted to make sure that the symptoms are not being caused by other disorders like appendicitis or other kinds of infection in the reproductive organs. A pregnancy test is also done to take the necessary precautions to protect the fetus from the adverse effects of the infection.
- Treatment: The treatment procedures of PID vary depending on the type of bacteria that caused the infection in the specific case. Antibiotic medication is used to treat the condition. In case of severe complications, the patient has to be hospitalized.