Periods, cycle & pelvic pain
Something isn't right with my periods.
Maybe they've never been regular. Maybe they've changed. Or perhaps it's the pain that's becoming difficult to ignore.
Irregular periods · heavy bleeding · painful periods · pelvic pain · PMOS · endometriosis
Common assumptions
A few things we don't assume.
Irregular periods mean I have PMOS.
Not necessarily.
Irregular or missing periods can occur with PMOS, formerly called PCOS, but they can have other causes. Diagnosis depends on the broader clinical pattern, which may include ovulatory changes, signs of elevated androgens, metabolic factors and ovarian findings.
I think it's hormonal.
It might be.
The next question is which hormones may be involved, why something has changed, and whether that changes what we do.
Painful periods are normal.
Pain is common. Losing days to it is different.
If pain regularly interferes with work, sleep, exercise or sex, or has become worse over time, it's worth looking at more closely.
My ultrasound was normal.
That's useful information. It doesn't completely rule out endometriosis.
Ultrasound can identify some forms of endometriosis. Others can be much harder to see. If the symptoms still fit, the question is what makes sense to do next.
Your first consultation
Give it an hour.
Whether your periods have changed, have never been regular, or pain has been part of your life for years, you may already have spent a lot of time trying to work out what's normal—and what isn't.
Bring any results or diagnoses you already have, what you've tried, and the questions you still have.
For an hour, your practitioner has time to look properly at the pattern, what has already been investigated, and what may still need attention.
You should leave knowing what is worth working on now, whether anything needs further investigation, and where to start.
60 minutes · $295