Menstrual Problems Treatment
in Lahore | Dr. Rizwan Niazi

Hormonal Causes of Menstrual Problems

Menstrual problems, including irregular cycles, absent periods (amenorrhoea), heavy bleeding, and painful periods, are among the most common presentations of hormonal imbalance in women.

The menstrual cycle is tightly regulated by the interplay of oestrogen, progesterone, LH, FSH, and thyroid hormones. A disruption in any of these leads to visible changes in cycle regularity, duration, and flow.

A full hormone blood panel, including thyroid function and prolactin, is the starting point for accurate diagnosis and effective treatment.

Book Consultation

PCOS

Polycystic ovary syndrome is the most common cause of irregular periods. Elevated androgens and insulin resistance disrupt ovulation and cycle regularity.

Thyroid Disorders

Both hypothyroidism and hyperthyroidism alter menstrual frequency and flow. Correcting thyroid function often restores normal cycle patterns.

Elevated Prolactin

Hyperprolactinaemia suppresses oestrogen and can cause infrequent or absent periods. Medication to lower prolactin restores the cycle in most cases.

Low Oestrogen

Hypothalamic amenorrhoea from excessive exercise, low body weight, or stress causes oestrogen deficiency and absent periods, requiring targeted hormonal support.

Irregular Cycles

Cycles shorter than 21 or longer than 35 days, or with unpredictable timing, usually point to PCOS, thyroid disease, or elevated prolactin.

Absent Periods

Amenorrhoea may be caused by PCOS, prolactinoma, premature ovarian insufficiency, or hypothalamic suppression from stress or low body weight.

Heavy or Prolonged Bleeding

Menorrhagia can result from thyroid dysfunction, coagulation problems, or uterine causes. Hormonal evaluation rules out endocrine contributions.

Painful Periods

Severe dysmenorrhoea combined with cycle irregularity often points to an underlying hormonal condition requiring investigation.

Why See an Endocrinologist?

An endocrinologist investigates the hormonal root cause of menstrual irregularity, rather than managing symptoms alone. Targeted treatment produces lasting cycle normalisation.