Abnormal Bleeding Treatment

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Dr Mohamed Otify, Consultant Gynaecologist and Gynaecological Oncologist, has specialist expertise in managing complex menstrual disorders using advanced minimally invasive and robotic techniques.

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

Dr Otify understands how distressing heavy or irregular bleeding can be, particularly when it begins to affect your work, confidence, or relationships. His aim is to identify the cause quickly and guide you towards the most appropriate and least invasive treatment.

A normal menstrual cycle lasts 21–35 days, with bleeding up to 7 days.
Bleeding is considered abnormal if you experience any of the following:

• Bleeding or spotting between periods or after sex
   
• Very heavy bleeding soaking through pads or tampons hourly
   
• Periods lasting longer than 7 days
   
• Cycles shorter than 21 days or longer than 35 days
   
• Missed periods for several months
   
• Any bleeding after menopause
   

Even mild but persistent changes should be assessed — early diagnosis usually means simpler treatment.

Abnormal bleeding can arise from a variety of conditions. Identifying the underlying cause is key to effective management.

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

• Fibroids – benign muscle growths that can cause heavy or prolonged bleeding
   
• Polyps – small growths on the uterine lining
   
• Adenomyosis / Endometriosis – uterine tissue growing in or outside the womb
   

• 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 arrange an assessment if:

• Bleeding is heavy enough to interfere with daily life
   
• You experience bleeding after menopause or after sex
   
• You are under 8 or over 45 with new or unexplained bleeding
   
• You are pregnant and notice any vaginal bleeding
   

Prompt evaluation can exclude serious causes and prevent complications such as anaemia or fertility issues.

Your consultation may include:

• Detailed medical history and examination
   
• Pelvic ultrasound to assess the uterus and ovaries
   
• Hysteroscopy (camera evaluation of the womb lining)
   
• Endometrial biopsy to rule out precancerous changes
   
• Blood tests for hormones, thyroid function, anaemia and infection
   

You’ll receive clear explanations throughout and a written summary of your results.

Treatment is tailored to your diagnosis, age, and fertility goals.
Options may include:

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

Dr Otify’s approach always balances safety, fertility preservation and symptom relief — using the most minimally invasive techniques available.

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

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