Diagnosis, Treatment & Surveillance Service
- Full gynae assessment and examination
- Vaginoscopy and pap smear
- Pelvis Ultrasound (trans-Abdomen/Trans vaginal)
- Office Endometrial sampling
- Hysteroscopy and DD&C
- Menses modification (to go to Umrah or Haj)
- Menses regulation and control (for dysfunctional uterine bleeding)
About Abnormal Menstruation
Abnormal menstruation is simply means the menstruation that does not follow the order or normal menstrual cycle and may spell a symptom of disease affecting women’s reproductive system. There are many conditions of abnormal menstruation and it is often referred to using specific medical term as per following:
Menorrhagia – heavy menstrual bleeding every month. If it is not corrected it commonly cause chronic iron deficiency anaemia in women
Dysmenorrhoea – severe menstrual pain just before the menstrual begin and usually subsided one or two days after. Most of the time it is physiological but it is often associated with endometriosis and other uterine pathology
Polymenorrhoea – frequent period of more than once a month.
Oligomenorrhoea – scanty period or infrequent period of less than 6 times per year. This is one of the common symptom of polycystic ovarian syndrome in women.
Menometorrhagia haemorhagica – erratic menstrual bleeding and usually very heavy with blood clots and flooding.
Menstrual Calender
It is indeed a good habit to keep record on detail of your period every month on a calendar. Pay attention on the date when the period starts, the pain ─ how severe and how long it last, and the menstrual flow─how heavy it is. Keeping menstrual calendar helps early detection of menstrual abnormality and helps you with pregnancy planning.
When do you need to contact your gynae doctor?
Contact your doctor if:
- You have not started menstruating by the age of 16
- You are bleeding between period
- You are bleeding for more days than usual
- You are bleeding more heavily than usual
- You have severe pain during your period
- You have bleeding after sex
- You are bleeding after menopause
- Your period interval is more than 35 days or shorter than 21 days
- You think you might be pregnant
Hysteroscopic view of submucosal fibroid – one of the causes of heavy menstrual bleeding
Endometrial hyperplasia is one of the causes of heavy menstrual bleeding in perimenopausal women.
Hysteroscopic resection of endometrial polyp using a Bugatti shaver.