Abnormal Bleeding Treatment | Dr Mohamed Otify

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Understanding Your Bleeding Pattern

Dr Mohamed Otify is a Consultant Gynaecologist and Gynaecological Oncologist with specialist expertise in managing complex menstrual disorders through advanced minimally invasive and robotic techniques.

Many women experience changes in their menstrual cycle at some point in life — sometimes mild, sometimes disruptive.

I understand how distressing heavy or irregular bleeding can be, particularly when it affects your work, confidence, or relationships. My aim is to identify the cause quickly and guide you toward the most appropriate and least invasive treatment.

Your menstrual cycle is usually between 21 and 35 days, with bleeding lasting up to 7 days. Bleeding is classed as abnormal if you experience:

• Bleeding or spotting between periods or after intercourse
   
• Heavy bleeding soaking through pads or tampons hourly
   
• Periods lasting longer than 7 days
   
• Very short (<21 days) or long (>35 days) cycles
   
• Missed periods for several months
   
• Bleeding after menopause
   

Abnormal bleeding can have many causes. Identifying the source is key to choosing the right treatment.

• Irregular ovulation (anovulation)
   
• Thyroid imbalance
   
• Polycystic ovary syndrome (PCOS)
   
• Weight-related hormonal changes
   

• Fibroids – benign muscle growths causing heavy or prolonged bleeding
   
• Polyps – small growths on the uterine lining
   
• Adenomyosis or Endometriosis – where uterine tissue grows in or outside the uterus
   

• Endometrial hyperplasia
   
• Uterine, cervical, vaginal, or ovarian cancer
   

• Blood clotting disorders
   
• Liver or thyroid disease
   
• Pelvic inflammatory disease
   
• Medications such as blood thinners, tamoxifen, or hormone therapy
   

You should seek medical review if:

• Bleeding is heavy enough to interfere with daily life
   
• You’re postmenopausal and notice bleeding
   
• You experience bleeding after sex
   
• You’re under 8 or over 45 with unexplained bleeding changes
   
• You’re pregnant and notice any vaginal bleeding
   

Even mild but persistent bleeding deserves investigation — early diagnosis means simpler, more effective treatment.

Your consultation may include:

• Detailed history and examination to assess pattern and impact
   
• Ultrasound scan of the uterus and ovaries
   
• Hysteroscopy (camera assessment of the womb lining)
   
• Endometrial biopsy to check for pre-cancerous changes
   
• Blood tests for anaemia, hormones, and infection
   

Treatment depends on your diagnosis, age, and fertility goals. Options include:

• Hormonal therapy or intrauterine systems (Mirena®)
   
• Hysteroscopic surgery to remove polyps or fibroids
   
• Endometrial ablation (to control bleeding while preserving the uterus)
   
• Robotic or laparoscopic surgery for fibroids, adenomyosis, or endometriosis
   
• Oncological management if precancerous or cancerous changes are found
   

My approach is always to balance safety, fertility preservation, and symptom relief — using minimally invasive techniques whenever possible.

If heavy or irregular bleeding is affecting your quality of life, you don’t have to endure it.

Book a confidential consultation to explore tailored treatment options and regain confidence in your wellbeing.