Menstrual disorders
What are menstrual problems? Menstrual or period problems are common women's health issues. What are the different types of menstrual problems? Painful periods Period pain is common and happens when the muscular wall of the uterus contracts in order to help it shed the lining if pregnancy implantation has not occurred. The tissue shedding is part of your period. The body als
What it is
"Menstrual disorder" is an umbrella term for heavy menstrual bleeding (menorrhagia), painful periods (dysmenorrhoea), absent periods (amenorrhoea), infrequent or unpredictable bleeding (oligomenorrhoea), and intermenstrual or post-coital bleeding. Common causes include fibroids, polyps, adenomyosis, endometriosis, PCOS, thyroid dysfunction, IUD-related issues, perimenopausal hormonal change and (rarely) endometrial or cervical pathology.
Symptoms and signs
- Periods so heavy you flood through protection or pass large clots.
- Period pain that requires regular days off work or routine opioid analgesia.
- Periods that have stopped without explanation (other than pregnancy, breastfeeding or menopause).
- Bleeding between periods, after intercourse, or after the menopause — always worth investigating.
- Cycles longer than 35 days or shorter than 21 days, persistently.
How we investigate
Initial consultation includes a structured menstrual history and pelvic examination. Investigations typically include a hormone panel (FSH, LH, oestradiol, prolactin, TSH, AMH where relevant), pelvic ultrasound and — for abnormal bleeding patterns — outpatient hysteroscopy with directed endometrial sampling.
Treatment options at The Vesey
- Mirena IUS — first-line for heavy menstrual bleeding without distorted anatomy; fitted on-site.
- Combined hormonal contraception — for cycle regulation and dysmenorrhoea.
- Tranexamic acid and mefenamic acid — non-hormonal options for heavy bleeding.
- Polyp / fibroid management — see-and-treat outpatient hysteroscopy where structural cause is found.
- Endometrial ablation — for women whose family is complete and bleeding is the dominant issue.
- Targeted treatment of underlying cause — PCOS, thyroid dysfunction or perimenopausal change managed in their own right.
What causes heavy menstrual bleeding? +
Common causes include fibroids, endometrial polyps, adenomyosis, endometriosis, PCOS, thyroid dysfunction and perimenopausal hormonal change. In some women no structural cause is found (dysfunctional uterine bleeding). Investigation guides treatment.
Can a hysteroscopy be done at The Vesey? +
Yes. We offer outpatient hysteroscopy with directed endometrial sampling on site. Most procedures take 10–15 minutes with local anaesthetic and do not require a general anaesthetic.
Can the Mirena IUS be fitted at The Vesey? +
Yes. The Mirena IUS is fitted on site by our consultant gynaecologist. It is first-line treatment for heavy menstrual bleeding in women without distorted uterine anatomy.
Is period pain ever a sign of endometriosis? +
Dysmenorrhoea severe enough to require regular analgesia or time off work is a red flag for endometriosis. Other features include deep dyspareunia, cyclical bowel or bladder symptoms, and subfertility. Laparoscopy is needed for a definitive diagnosis.
Pricing at a glance
Initial consultant gynaecology consultation £260. Hormone profile from £180. Transvaginal pelvic ultrasound from £240. Mirena IUS fitting from £350. Outpatient hysteroscopy from £1,650. Insurance accepted: BUPA, Vitality, AXA, WPA, Cigna, Aviva, Healix.
Book an appointment
When to see a specialist
If your periods are interfering with work, exercise, sleep or relationships — or if any post-coital, intermenstrual or post-menopausal bleeding has occurred — book a consultation. Investigation does not commit you to surgery.
Cost and pathway
Initial consultant gynaecology consultation £260. Hormone profile from £180. Transvaginal pelvic ultrasound from £240. Mirena IUS fitting from £350. Outpatient hysteroscopy from £1,650.
- Open 7 days including Sundays — 8am to 8pm, no weekend surcharge
- No GP referral required — book directly with our consultant gynaecology team
- Sutton Coldfield location — serving Birmingham, Walsall, Tamworth, Lichfield and the West Midlands
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Sutton Coldfield · Birmingham · Walsall · Tamworth · Lichfield · West Midlands · Open 7 days 8am–8pm
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