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Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
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Excess bleeding or menorrhagia is a common kind of abnormal bleeding occurring at the time of menstruation. Menorrhagia causes more blood loss which leads to anaemia. fatigue and breathlessness are common symptoms of anaemia.
Symptoms of excess bleeding
A few of the common symptoms of excessive bleeding are:
- Discharge of large blood clots is a sign of heavy bleeding
- Bleeding during the night which causes disruption in sleep as one has to wake up several times in the night to change the sanitary napkin
- Menstruation lasts longer than usual or more than 5 to 7 days.
- Any menses requiring excess change of pads than usual
Causes of excess bleeding
- Imbalance of hormones: During adolescence and when nearing menopause, the female body undergoes some imbalance in oestrogen and progesterone hormones. At these points of time, heavy bleeding is common among women. But it’s abnormal. So get it evaluated.
- Abortion / Ectopic pregnancy: Conception occurs in mid cycle and so by the time a menses start, one could be a pregnant too. So excess bleeding occurring at menses could be also due to an abortion or miscarriage. Unlike the usual course of pregnancy, if the fertilised egg gets stuck in the fallopian tubes and develops there, It results in Ectopic pregnancy. Excess bleeding can be a sign of ectopic pregnancy too.
- Fibroids: Growth of fleshy solid tumours in the wall of uterus namely Fibroids can lead to excess bleeding.
- Cancer: Cervical, ovarian and uterine cancers are rare causes of heavy bleeding, but it is possible. So early detection of these conditions is better for treatment.
- Adenomyosis: This is common in middle-aged women who have given birth to more than two children. In this case, the glands that appear in the lining of the uterus become deeply embedded in the muscle of the uterus wall. These women with adenomyotic uterus have severe dysmenorrhea ( pain during menses ) and excess bleeding.
- Intrauterine device: IUD used for birth causes more bleeding during menstruation. In some the bleeding reduces over time, but if in excess one must get evaluated.
- Pelvic inflammatory disease: PID is an infection that occurs in the uterus, other reproductive organs and the fallopian tubes. Inflammed reproductive organs bleed more and hence cause menorrhagia.
- Other diseases and disorders: Diseases like that of liver, kidneys and thyroids can cause excess bleeding. Disorders in blood levels or platelets can also be a cause.
Treatment for excess bleeding
Several treatments are available to treat heavy bleeding during menstruation. Choosing the right one mainly depends on the reasons that cause heavy bleeding.
- Hormonal therapy: This therapy is used as a treatment to stabilise the lining of the uterus (endometrium) and thus regulate the menstrual bleeding.
- Non-hormonal medication: A tranexamic acid is a non-hormonal medication prescribed by the doctor that promotes clotting of the blood.
- Nonsteroidal drugs: Nonsteroidal medications that are anti-inflammatory like Ibuprofen, mefenamic acid helps to reduce the blood loss.
- Hysteroscopy: A long and thin scope can be inserted into the uterus through the cervix and the vagina. The doctor observes the lining of the uterus, remove the excess lining or the endometrial polyps that cause bleeding.
- Dilation and curettage: In this procedure, the mouth of the uterus (cervix) to be dilated and the lining of the uterus is scrapped off to make it shed all at once and stop bleeding.
- Hysterectomy: This involves removing the uterus. It is mainly done for uterus having adenomyosis, fibroids, or cancers, or when the patient does not respond to medical therapies.
- Ablation: Ablation or endometrial resection allows removal of the lining of the uterus. But it may be a temporary measure as the lining recurs.
To conclude, proper diagnosis, choosing the right treatment for excess bleeding at menses needs to be done urgently as it affects the overall health of the women suffering from it. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
Hello dr! My periods started when I was 13 since then I have always suffered a sever pain during those days along with pain vomiting, fainting too since 3 days continues. I have consulted many Dr. since pain is 10% less then before bt other conditions are still same. Since a year I have been suffering from problem of flow. Few months I do not have flow of blood at all instead a black fluid discharge n amount is very very less. I am also suffering from pain in area of uterus n ovary. The pain is sharp n it happens with movement of body parts too. Even I am suffering from gall n kidney stone n soon going to operate it. So please help me with my problem
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I I miss my period but, how may day I wait for this of 4 week 6 days. I done HCG test but result are negative what to do.
Expecting a baby is the best feeling for any woman but this may or may not be the case in teenage pregnancy. Getting pregnant at the early age can cause serious damage to her not only to her health but also her future. Any pregnancy that occurs in women under the age of 20 is termed as teenage pregnancy. It is classified as high-risk pregnancy which can cause grave danger to the mother as well as her unborn child.
Technically, a girl can become pregnant after sexual intercourse anytime after beginning ovulation. In common- speak, a girl can become pregnant after she begins menstruating.
Risks of Teenage Pregnancy
Usually what happens is that a teenager gets pregnant against her wish… She doesn’t plan to but gets pregnant maybe due to unprotected sex. This increases the risk to both her and her baby.
It usually leads to a lag in her accessing and getting prenatal care. This can lead to problems later on like-
- High blood pressure
- Premature births
- Low birth weight
Controlling high blood pressure during pregnancy and getting regular prenatal care is the single most important thing that a pregnant teen can do for her own and her baby’s health.
Teenage mothers are at high risk for suffering from high BP which means they are at high risk for developing pre-eclampsia. This is a sudden increase in blood pressure after the 20th week of pregnancy and can be life-threatening for both the mother and the unborn baby. There are no proven ways to prevent it and most women who have signs of pre-eclampsia are monitored to lessen the harm and to avoid complications. The only way to cure pre-eclampsia is to deliver the baby. Usually, doctors manage high blood pressure in pregnancy by closely monitoring the baby, lifestyle changes by the mother and use of medicines. Compliance among teenagers for making lifestyle changes is usually low according to experts.
Premature babies are also common in teenagers and these babies can have health problems at the drop of the hat because their organs did not have enough time to develop in the womb. Problems that they are prone to are-
- Breathing problems
- Cerebral palsy
- Developmental problems
- Problem with vision
- Hearing problems
- Feeding problems
Low birth weight babies are another risk of teenage pregnancies. These babies who weigh less than 5 pounds are at higher risk for health problems like delayed motor and social development or learning disabilities. They also become sick more often in the first days of life or develop infections.
Risks of low birth weight, premature labour, anemia, and pre-clampsia are linked to the low age of the mother and all of these are observed in teen births even after controlling for other risk factors such as prenatal care.
What can be done?
A pregnant teen, therefore, should do the following-
- Get regular prenatal check-ups
- Take vitamins and iron to prevent birth defects
- Staying away from smoking, alcohol, and drugs to prevent birth defects
- Use a condom during sex to prevent sexually transmitted diseases that could hurt the foetus
The only way to prevent teenage pregnancies is educational interventions and promotion of birth control. And both of these should be used to prevent these high-risk pregnancies. If you wish to discuss about any specific problem, you can consult a Gynaecologist.