Heavy Menstrual Bleeding Treatment in Mumbai

If you are looking for expert Heavy Menstrual Bleeding Treatment in Mumbai, Dr. Deepika Doshi, Consultant Obstetrician, Gynaecologist, and Advanced Laparoscopic Surgeon at Dhanvantari Hospital, Borivali, offers comprehensive evaluation and personalized treatment to help women regain control of their menstrual health and improve their quality of life.

What Is Heavy Menstrual Bleeding?

Heavy menstrual bleeding refers to menstrual periods that are excessively heavy, prolonged, or both.

Many women ask,

"How do I know if my bleeding is actually heavy?"

You should consult a gynaecologist if you:

• Soak through one or more sanitary pads or tampons every hour for several hours.
• Need to use double sanitary protection.
• Wake up at night to change sanitary pads.
• Pass large blood clots.
• Bleed for more than seven days.
• Experience severe fatigue due to blood loss.
• Find that your periods interfere with work, school, or daily activities.

Heavy bleeding is a symptom—not a disease itself—so identifying the underlying cause is essential.

What Causes Heavy Menstrual Bleeding?

One of the first questions women ask is,

"Why have my periods suddenly become heavier?"

There are many possible causes, including:

Uterine Fibroids

Benign growths in the uterus that commonly cause heavy and prolonged periods.

Endometrial Polyps

Small growths inside the uterus that can result in irregular or excessive bleeding.

Adenomyosis

A condition where the uterine lining grows into the muscular wall of the uterus, often causing painful and heavy periods.

Irregular Ovulation

Conditions such as:

• PCOS
• Thyroid disorders
• Hormonal imbalance

may prevent regular ovulation, leading to abnormal uterine bleeding.

Bleeding Disorders

Women with clotting disorders may experience unusually heavy menstrual bleeding.

Medications

Certain medicines may increase bleeding, including:

• Blood thinners
• Aspirin
• Copper IUCD (especially during the first year)

Endometriosis

Can contribute to painful and heavy menstrual bleeding.

Pelvic Inflammatory Disease (PID)

Infections affecting the reproductive organs may sometimes cause abnormal bleeding.

Endometrial Hyperplasia or Endometrial Cancer

Although less common, especially in younger women, abnormal uterine bleeding may occasionally be an early sign of precancerous changes or cancer of the uterus, particularly after menopause.

How Is Heavy Menstrual Bleeding Diagnosed?

Many patients worry,

"Will I need surgery just to find out what's wrong?"

Not at all. Most women can be diagnosed through a combination of history, examination, blood tests, and imaging.

Your evaluation may include:

Medical History and Physical Examination

Your doctor will discuss:

• Menstrual pattern
• Duration of bleeding
• Amount of bleeding
• Previous pregnancies
• Current medications
• Medical conditions

Blood Tests

These help identify:

• Anaemia
• Thyroid disorders
• Hormonal imbalance
• Bleeding disorders

Pap Smear

A Pap smear helps detect cervical infections, abnormal cells, and early cervical cancer.

Pelvic Ultrasound

Ultrasound is one of the most useful investigations for identifying:

• Fibroids
• Polyps
• Adenomyosis
• Ovarian cysts
• Thickened endometrium

Endometrial Biopsy

A small sample from the uterine lining is collected to rule out precancerous changes or cancer when indicated.

Sonohysterography

A specialized ultrasound performed after sterile fluid is introduced into the uterus for better visualization of the uterine cavity.

Hysteroscopy

A thin telescope is inserted into the uterus to directly examine the uterine cavity and diagnose polyps, fibroids, or other abnormalities.

Dilatation and Curettage (D&C)

In selected patients, D&C helps diagnose and sometimes treat abnormal uterine bleeding.

Treatment for Heavy Menstrual Bleeding

Many women ask,

"Can heavy bleeding be treated without surgery?"

Yes. Treatment depends entirely on the underlying cause, age, severity of symptoms, and future pregnancy plans.

Medical Treatment

Many women improve with medications such as:

• Iron supplements for anaemia
• Anti-inflammatory medicines (NSAIDs)
• Hormonal tablets
• Combined oral contraceptive pills
• Progesterone therapy
• Tranexamic acid (to reduce menstrual blood loss)

These treatments are often effective for mild to moderate cases.

Minimally Invasive Procedures

When medication is not sufficient, minimally invasive procedures may be recommended.

Hysteroscopic Polyp or Fibroid Removal

Polyps and selected fibroids inside the uterus can often be removed through hysteroscopy without abdominal incisions.

Endometrial Ablation

This procedure removes or destroys the uterine lining to significantly reduce menstrual bleeding. It is generally recommended for women who have completed their families.

Surgical Treatment

Dilatation and Curettage (D&C)

A minor surgical procedure that removes the superficial uterine lining and may temporarily reduce heavy bleeding.

Myomectomy

Removal of fibroids while preserving the uterus.

Laparoscopic Surgery

Depending on the cause, laparoscopic surgery may be recommended for fibroids, adenomyosis, endometriosis, or ovarian cysts.

Hysterectomy

For women with severe symptoms who have completed childbearing, hysterectomy provides a permanent solution by removing the uterus.

Why Choose Dr. Deepika Doshi for Heavy Menstrual Bleeding Treatment in Mumbai?

Heavy menstrual bleeding is not just a physical problem—it can affect every aspect of a woman's life. Dr. Deepika Doshi understands that every patient's symptoms, medical history, and reproductive goals are unique.

As an experienced Obstetrician, Gynaecologist, and Advanced Laparoscopic Surgeon at Dhanvantari Hospital, Borivali, she provides comprehensive evaluation to identify the exact cause of abnormal bleeding before recommending treatment. Whenever possible, she focuses on conservative and uterus-preserving treatments. If surgery becomes necessary, she offers advanced hysteroscopic and laparoscopic procedures that ensure less pain, smaller scars, quicker recovery, and excellent long-term outcomes.

Her compassionate approach, combined with evidence-based care, helps women feel informed, reassured, and confident throughout their treatment journey.