painful periods doctor
Menstrual Problems Doctor in Wakad
La Femme Fertility in Wakad, Pune treats menstrual cycle disturbances including irregular periods, heavy bleeding, painful periods and absent periods. Dr. Bhagyashri Naphade diagnoses underlying causes such as PCOD, thyroid disorders, fibroids and hormonal imbalances using comprehensive testing, then provides targeted treatment plans for patients across Pune and PCMC.
Your menstrual cycle is one of the most reliable indicators of your overall health. When periods become irregular, excessively heavy, painfully severe, or disappear altogether, your body is signaling that something needs attention. Yet far too many women brush off menstrual problems as “normal” or cope with them for years without seeking proper evaluation.
At La Femme Fertility in Wakad, Dr. Bhagyashri Naphade takes menstrual disturbances seriously - because they often point to treatable conditions that, when left unaddressed, can affect fertility, quality of life and long-term health.La Femme Fertility
Types of Menstrual Disturbances
- Irregular Periods (Oligomenorrhea): Cycles that are unpredictable in timing – sometimes 25 days apart, sometimes 45 or 60. This is particularly common in women with PCOD/PCOS or thyroid disorders.
- Heavy Menstrual Bleeding (Menorrhagia): Bleeding that lasts more than 7 days, requires changing pads/tampons every 1-2 hours, includes large clots, or causes fatigue and anemia. Fibroids and adenomyosis are common culprits.
- Painful Periods (Dysmenorrhea): Cramps severe enough to interfere with daily activities, work, or school. While some cramping is normal, debilitating pain is not – and may indicate endometriosis.
- Absent Periods (Amenorrhea): No menstrual period for 3 or more consecutive months (in a woman who has previously had regular cycles). This requires investigation for hormonal, pituitary, or ovarian causes.
- Spotting Between Periods: Light bleeding or brown discharge between cycles, which can indicate polyps, cervical issues, or hormonal fluctuation.
The causes range from common to complex. At La Femme, Dr. Naphade investigates systematically rather than prescribing hormonal pills without understanding the root cause. Common underlying conditions include:
- PCOD/PCOS – the single most common cause of irregular periods in young women
- Thyroid disorders – both hypothyroidism and hyperthyroidism disrupt menstrual regularity
- Uterine fibroids – benign growths that cause heavy, prolonged, or painful bleeding
- Endometriosis – tissue similar to the uterine lining growing outside the uterus
- Ovarian cysts – functional or pathological cysts that alter hormonal balance
- Polyps – small growths inside the uterus or cervical canal
- Stress, extreme weight changes, or excessive exercise – all of which can shut down ovulation
- Premature ovarian insufficiency – early decline in ovarian function before age 40
Reasons Behind MC Irregularity
Common underlying conditions include:
- PCOD/PCOS
- Thyroid disorders
- Uterine fibroids
- Endometriosis
- Ovarian cysts
- Polyps
- Stress, extreme weight changes, or excessive exercise
A proper diagnosis requires more than a single ultrasound. At La Femme, your evaluation typically includes a detailed menstrual history (patterns, flow, pain levels), hormonal blood tests (thyroid, prolactin, FSH, LH, testosterone), pelvic ultrasound to assess the uterus and ovaries and in some cases, a hysteroscopy or endometrial biopsy for persistent heavy bleeding.
Dr. Naphade correlates all these findings before recommending treatment. The goal is always to treat the cause, not just the symptom.
Treatment is tailored to the diagnosis and your life stage. For a teenager with PCOD-related irregular periods, the approach is different from a 38-year-old with fibroid-related heavy bleeding. Options include hormonal regulation, medication for specific conditions (such as thyroid supplementation), minimally invasive procedures (hysteroscopic polypectomy, laparoscopic cyst or fibroid removal) and lifestyle modifications where applicable.
Frequently Asked Questions
Are irregular periods normal during stress?
Temporary changes during high-stress periods can occur, but if irregularity persists for more than 2-3 months, evaluation is recommended.
Can irregular periods affect my ability to get pregnant?
Yes. Irregular periods often mean irregular or absent ovulation, which directly affects fertility. Early evaluation and treatment improve your chances significantly.