Menstrual Disorders and Hormonal Conditions

Understanding Menstrual Disorders

Menstrual disorders encompass a wide range of conditions affecting the regularity, duration, flow and comfort of menstrual periods. These conditions are common and can significantly impact quality of life, fertility and overall wellbeing.

Common Conditions

Polycystic Ovary Syndrome (PCOS)

PCOS is one of the most common hormonal conditions, affecting up to 1 in 5 women. It may present with:

• Irregular or absent periods
• Acne or excess facial and body hair
• Weight management difficulties
• Fertility challenges

Dr Kirshenbaum provides comprehensive PCOS management, including hormonal assessment, metabolic screening, and personalised treatment plans addressing both symptoms and long-term health.

Heavy Menstrual Bleeding

Heavy periods (menorrhagia) can disrupt daily life and lead to iron deficiency. Evaluation may include:

• Blood tests to check for anaemia and hormonal levels
• Pelvic ultrasound to assess the uterus and ovaries
• Discussion of medical and procedural treatment options

Painful Periods

Significant menstrual pain (dysmenorrhoea) warrants evaluation to identify underlying causes such as endometriosis, fibroids or adenomyosis.

Absent or Irregular Periods

Amenorrhoea (absent periods) or oligomenorrhoea (infrequent periods) can result from hormonal imbalances, thyroid conditions, premature ovarian insufficiency, or lifestyle factors.

Our Approach

1. Detailed history — Understanding your symptoms, their impact, and your health goals
2. Targeted investigations — Blood tests, ultrasound and other assessments as indicated
3. Clear diagnosis — Explaining your condition in straightforward terms
4. Personalised treatment — Evidence-based management tailored to your needs and preferences
5. Ongoing care — Regular follow-up to monitor progress and adjust treatment