Irregular periods
Gaps that jump around, late periods, and cycles that never settle into a pattern.
CONDITIONS
Conditions we evaluate for women
Irregular periods, heavy bleeding, PCOD, pelvic pain, pregnancy concerns, fertility delay, fibroids, or menopause symptoms—understand what usually needs assessment, then book with Dr. Anju Bala near Civil Lines, Delhi.
OVERVIEW
Your symptoms in real life
Symptoms disrupt school, office work, intimacy, or pregnancy plans—and online lists mix rare and common causes without ranking risk. Care starts with your age, cycle pattern, pregnancy status, and examination findings—not a random package of tests.
Dr. Anju Bala sees women for PCOD/PCOS, pregnancy and high-risk monitoring, fertility evaluation, heavy or painful periods, menopause transitions, fibroids, ovarian cysts, and related pelvic pain.
Each card summarises what women usually notice and when to book sooner. Treatment is decided in clinic after history and examination; the treatments page outlines care approaches.
Consult at Sant Parmanand Hospital, Civil Lines, or North Delhi Uro Gynae Clinic, Model Town. Bring recent ultrasound or lab reports so useful films are not repeated without reason.
COMMON CONCERNS
Areas covered in clinic
Match the concern closest to what you feel, then book for personal assessment.
Heavy menstrual bleeding
Flooding, large clots, and fatigue when pad changes take over your day.
Painful periods
Cramps that stop school or work—and when pain may signal more than ordinary periods.
White vaginal discharge
When white flow is normal versus odour, itch, or colour change that needs a check.
Hormonal imbalance
What people usually mean by it—and which tests actually change treatment.
Endometriosis
Period pain that worsens over years, pain with intimacy, and plans if you want pregnancy.
Recurrent pregnancy loss
After repeated losses—focused checks, not one huge optional test package.
Pelvic pain
Sudden or long-standing lower abdominal pain—and when to go to emergency care.
SYMPTOMS
Symptoms that should prompt review
Symptoms are timing data. Note start date, severity scale 1–10, triggers, and treatments already tried. That list shortens the first visit and reduces guesswork.
Some symptoms need same-day hospital care: collapse, one-sided severe pelvic pain with vomiting (possible torsion), or heavy bleeding with dizziness. Clinic pages schedule non-emergency evaluation.
- Cycles longer than 35 days or absent for months without pregnancy
- Soaking through pads hourly, clots, or anaemia symptoms such as breathlessness on mild effort
- Pelvic pain timed with menses or pain that wakes you at night
- Trying to conceive without success after a defined period for your age group—confirm duration goals in clinic
- Hot flushes with sleep disruption around midlife, or any bleeding after menopause
- Pregnancy nausea with dehydration, reduced foetal movements later in pregnancy, or BP-related headache
CAUSES & RISK FACTORS
Causes and risk factors clinicians prioritise
Cause lists online are often longer than a single patient’s list. Clinicians limit testing to the top two or three probabilities after history. That is efficiency, not dismissal.
Risk factors such as family history of early menopause, prior pelvic surgery, smoking exposure, or long use of unmonitored hormones are recorded because they change screening choices.
Hormonal drivers
Ovulation failure, thyroid imbalance, and prolactin elevation can all disrupt menses without infection.
Structural changes
Fibroids, polyps, adenomyosis, and some ovarian cysts alter bleeding volume or pain patterns.
Pregnancy-related risks
Placental issues, growth restriction risk, hypertension, and infection change monitoring needs.
Metabolic context
Insulin resistance and weight trends often interact with PCOD and fertility—labs guide intensity of intervention.
DIAGNOSIS
Diagnosis that changes care
Diagnosis is a working label that guides the next action. It may refine after a treatment trial or a follow-up scan. Ask which results would change the plan—that question prevents unused tests.
At Civil Lines and Model Town visits, bring printed or digital reports. Screen photos of ultrasound plates are helpful when full films are unavailable, but formal reports remain preferred for decisions.
- Targeted blood tests (e.g., haemoglobin, thyroid, selected hormones) based on hypothesis
- Ultrasound for structural assessment when bleeding, mass concern, or pregnancy needs imaging
- Review of prior records to avoid repeating recent normal tests without new indication
- Examination findings documented so follow-up compares like with like
FAQS
Frequently asked questions
Answers to common clinical and practical questions about this condition or treatment.
No. Thyroid problems, hyperprolactinaemia, excessive exercise, recent weight change, medicines, and early pregnancy can disrupt cycles. Lab and ultrasound decisions are based on your history.
When medical or obstetric factors raise complication chances—examples include hypertension, diabetes, prior preterm birth, recurrent miscarriage, twins, or significant growth concerns. Classification is clinical, not self-labelled.
No. Many simple cysts resolve with observation. Surgery is considered for persistent complex cysts, suspicion of torsion, large size with symptoms, or imaging features that need tissue diagnosis.
No. Any bleeding after confirmed menopause needs prompt evaluation to exclude serious causes. Book as soon as feasible rather than waiting for a yearly visit.
Yes. Follow-up can continue at Civil Lines (Sant Parmanand Hospital OPD days) or Model Town clinic depending on weekly hours. Bring prior records so care stays continuous.
Open the treatments page for antenatal plans, PCOD care frameworks, and surgical counselling topics. Use contact or book appointment pages when you are ready to schedule.
READY TO CONSULT?
Book with Dr. Anju Bala near Civil Lines
Choose online booking, call the desk, or WhatsApp for a slot at Sant Parmanand Hospital, Civil Lines, or North Delhi Uro Gynae Clinic, Model Town.