Period pain, heavy periods, absent or irregular periods
and Menstrual disorders
Period pain Perth
But there are situations where you should think about seeing a women’s health specialist. For example, if you have taken over-the-counter pain relief medication and you still feel a lot of pain. Or, if you feel the pain days before, and throughout your period or even beyond the end.
Perth gynaecologist
Gynaecologist Perth
Let’s go over what is considered a normal period. A normal cycle is generally seen as 21 to 35 days. If your cycle is slightly less regular, with a two-days difference from one month to another, there is no reason to worry.
A ‘normal period’ lasts 3 to 5 days and can go up to 7 days. A few years after your menstrual cycle starts, it should settle into a pattern and it generally remains the same through to your forties.
What is a normal period in terms of volume? A healthy period means that you produce 4 to 5 tablespoons of fluid or in other words 60 to 80 ml.
Perth gynaecologist
Gynaecologist Perth
So what exactly causes the pain when you have your period?
During menstruation, the muscle of your womb (the myometrium) contracts and this would be felt on the first days of your period.
Period pain can also be caused by endometriosis and or adenomyosis. In this case, you would feel pain for one or more days before your period starts.
Many women with severe period pain have both these problems.
Part of our role is to investigate the causes of your period pain and to help you get a clear and accurate diagnosis.
Perth gynaecologist for menstrual disorders
- Absence of menstrual period for 3 consecutive months: This is when you reach the age of 16 and have never had your period (primary amenorrhoea), or when you have had it before and now don’t have a period for 3 consecutive months without pregnancy (secondary amenorrhoea).
- Extended time without a period: oligomenorrhea (for example 60 days)
- Excessive bleeding for 8 to 10 days: menorrhagia
- Premature ovarian failure: your ovary is no longer functioning normally
Menstrual disorders are common and at our women’s health clinic in West Perth, you are in a safe and caring environment to discuss your discomfort.
Perth gynaecologist
An examination by a gynaecologist is important, to check for any underlying conditions that may affect your overall health in the future, as well as your fertility.
Gynaecologist Perth
disorders
At Woom in West Perth, we are a multidisciplinary women’s health hub, with our own gynaecologist surrounded by a team of women’s health experts.
Our first focus is to look at options to manage pain and discomfort, depending on the menstrual disorder that you suffer from:
- Painful periods: We can manage the pain with anti-inflammatory analgesia and if this treatment does not succeed, the COCP (combined oral contraceptive pill) can be the next treatment option.
- Lack of periods: In this case, we will investigate the underlying cause of the amenorrhea. If there is no clear explanation for the lack of periods, the therapy that your gynaecologist may recommend is hormone replacement.
- Excessive bleeding: With menorrhagia, the first step is to look at the underlying causes and there are a number of options for direct treatment: reducing the bleeding with tranexamic acid, using the contraceptive pill or a Mirena IUD, or surgical interventions such as hysterectomy and endometrial ablation.
At woom, we look at the bigger picture in women’s health. We will discuss your health history and your fertility history as well as your plans for the future. If treatment is likely to affect your fertility, then we will discuss this with you and - if required - choose other options.
Perth gynaecologist
This is why it is best to see a multidisciplinary women’s health team, with a sub-specialisation in fertility, to discuss period pain and menstrual disorders.
The treatment options that we choose together must be seen in the context of your ‘fertility story’. If you have an underlying condition such as PCOS or endometriosis, then that will be an important part of the conversation.
If infertility is a concern, and you would consider IVF in the future, then that will also define how we approach your treatment journey for menstrual disorders.
Perth gynaecologist
Gynaecologist at woom Perth
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Gynaecologist and CREI-certified fertility specialist
Perth gynaecologist
Perth gynaecologist
Perth gynaecologist
Perth gynaecologist
Women's Health GP
Women's Health GP