Causes and management
Defined by impact on quality of life, not strict volume measurements. Causes include hormonal imbalance, fibroids, polyps, adenomyosis, bleeding disorders, and IUCD effects. Treatment options range from medical (NSAIDs, tranexamic acid, hormonal therapy, Mirena) to surgical (endometrial ablation, hysteroscopy, hysterectomy).
Primary vs secondary dysmenorrhoea
Primary dysmenorrhoea: pain without identifiable pathology, often responsive to NSAIDs and hormonal therapy. Secondary dysmenorrhoea: caused by endometriosis, adenomyosis, fibroids, or other pathology – needs targeted evaluation.
PCOS and other causes
PCOS is the most common cause in reproductive-age women. Thyroid dysfunction, hyperprolactinaemia, hypothalamic dysfunction, and premature ovarian insufficiency are other possibilities. Structured evaluation includes hormones, glucose, and ultrasound.
Menstrual disorders
| Pattern | Possible cause |
|---|---|
| Heavy bleeding | Fibroids, adenomyosis |
| Irregular cycles | PCOS, thyroid |
| Painful periods | Endometriosis |
| Absent periods | PCOS, low reserve, other |
Frequently asked
Dr Patel provides evidence-based gynaecological care at Balaji Horizon — from medical management to advanced minimal-access surgery — with a precision, organ- and fertility-sparing philosophy and honest counselling on every option.
Evidence-based gynaecology and minimal-access surgery — with a clear, honest plan built around your priorities.
Dr. Priyadatt Patel
Senior Gynecologist · Advanced Laparoscopic Surgeon · IVF and Endometriosis Programme Lead
MS OBGyn · Pregnancy Care · Advanced Gynaecological Ultrasound · Fertility Preservation
ESHRE / ESGE / AAGL / ASRM guideline-aligned practice. 3D Karl Storz precision technique. Fertility-preservation-first philosophy. Evidence-based decisions, honest counselling, long-term outcomes orientation.
Science City Road, Ahmedabad 380060
Mon–Sat 11:00–20:00 · +91 97234 31544
Naranpura, Ahmedabad
Mon–Sat 08:30–10:30 · +91 70460 02566
