Period problems

Period problems

Starting to have periods is part of growing up for girls. Periods usually start to occur around the same time as other changes happen to the body, such as starting to develop breasts or to grow pubic hair. The average age to start periods is 13, but it is normal to start at any time between the ages of 11 and 15. A small number of girls may start before or after this. Periods continue until the menopause, which is usually around the age of 51 years.

Types of Period Problems

Period problems can be any one or a combination of the following

  • Heavy Period (Menorrhagia)

    This is common. It is difficult to measure blood loss accurately. Periods are considered heavy if they cause such things as flooding, the need for double sanitary protection, soaking of bedclothes, passing clots, or if your normal lifestyle is restricted because of heavy bleeding. See your doctor if your periods change and become heavier than previously. There are various causes of heavy periods.

  • Painful Periods (Dysmenorrhoea)

    It is common to experience an ache in your lower abdomen, back and tops of your legs, especially in the first few days of your period. The first day is usually the worst. Some women have more pain than others. This should not be ignored. Sometimes conditions such as endometriosis can make period pains become worse. You should see an experienced Gynaecologist if:

    • The pain becomes gradually worse with each period.
    • You need to have an injection to relieve the pain
    • Pain begins a day or more before the onset of bleeding.
    • Pain is severe over the whole time of the period.
    • Pain continues after the periods have ended
  • Bleeding at Abnormal Times

    If you have vaginal bleeding at times other than from your expected periods, you should see a Gynaecologist. This includes if bleeding occurs after you have sex, or after the menopause. There are various causes of bleeding between periods. They all need urgent assessment by an experienced Gynaecologist.

  • Periods which stop (Amenorrhoea)

    Pregnancy is the most common reason for periods to stop. It is unusual to miss several periods unless you are pregnant. Apart from pregnancy, other causes of periods stopping include stress, losing weight, exercising too much and hormonal problems. You should see an experienced Gynaecologist as a matter of urgency if your periods have not started at all by the age of 16.

  • Irregular Periods:

    The interval between periods can vary in some women. Irregular periods may indicate that you do not ovulate every month, and the balance of the female hormones may be upset.

Effect on Your Life

Women and girls experiencing period problems find that their personal lives, social lives, academic lives or professional lives are completely restricted by their periods and their pain.

They are limited with the choice of clothes they can wear and limited to the time they can socialise or be with friends. They are limited to participate in sports and other physical activities and tend to find it difficult to lose weight. They also cannot plan activities if they have irregular bleeding.

Those trying to get pregnant are unable to do so and face family and marital pressures. The older women with irregular bleeding are at risk of developing cancer.

Experience and Skill of Dr (Mrs) Salma Kayani

Consultant Dr (Mrs) Salma Kayani is highly trained and experienced in managing these period problems with the minimum of medications. Through her expertise of hormonal manipulation and highly advanced skills of keyhole surgery, Dr (Mrs) Salma Kayani aims to cure the main problem rather than the effect and so treats the root cause of the problem. Be-Iznillah, this results in complete cure over a very short period of time.

Treatment Options
  • Medical
    • Hormonal Tablets
    • Non Hormonal Tablets
    • Injections
    • Mirena IUS
  • Hysteroscopic Keyhole Surgery (Gold standard procedures)
    • Trans Cervical Resection of the Endometrium (TCRE)
    • Trans Cervical Resection of Fibroids (TCRF)
    • Trans Cervical Resection of Polyps (TCRP)
  • Laparoscopic Keyhole Surgery (Gold standard procedures)
  • Laparoscopic Myomectomy
  • Laparoscopic Treatment of Endometriosis
  • Total Laparoscopic Hysterectomy
  • Laparoscopic Adhesiolysis
Period Problems in Girls and Women with Physical and Learning Difficulties

This is an extremely important and sensitive issue.
The period problems faced by teenage girls and women who suffer with physical and learning disabilities are not only distressing for the patients but also their loved ones and carers.
Dr (Mrs) Salma Kayani has been specifically trained by the Royal College of Obstetricians and Gynaecologists (UK) to especially manage and treat period problems in this special group of females.
Dr (Mrs) Salma Kayani is considered an international expert in this area and has written papers as an expert for the Royal College of Obstetricians and Gynaecologists (UK). She has also, in her teaching role trained other Gynaecologists on how to manage this problem in this very vulnerable and neglected group of females.

Dr (Mrs) Salma Kayani International Research and Publications on Management of Period Problems
  • Myagerimath R , Salma I Kayani, Nwosu E C. Ten years experience of hydrothermal ablation (HTA) in a district general hospital: EP8.04. BJOG: An International Journal of Obstetrics & Gynaecology. 120: 383, June 2013
  • Jeffery E, Salma I Kayani, Garden A. Management of menstrual problems in adolescents with learning and physical disabilities. The Obstetrician & Gynaecologist 2013; 4667.2013.12008.x
  • Salma I Kayani, Pundir J, Omanwa K. Minerva Ginecologica. 2015 (ahead of print). Quality of Life after Total Laparoscopic Hysterectomy – One-year follow-up study.Minerva Gynecologica
  • Omanwa K, Salma I Kayani. The Impact and Effectiveness of RCOG Post-Operative Leaflets For Total Laparoscopic Hysterectomy. Gynecol Surg, Vol 8, Suppl 1, S1-S225, P.05.26, Sept 2011
  • Chykyda H, Salma I Kayani. Self-Assessed Patient Satisfaction Survey after Total Laparoscopic Hysterectomy (12+months follow up data). Gynecol Surg, Vol 8, Suppl 1, S1-S225, P.05.23, Sept 2011
  • Al-Amoosh H, Salma I Kayani. Laparoscopic Hysterectomy: Our experience and criteria for choice of route. Gynecol Surg, Vol 8, Suppl 1, S1-S225, P.05.15, Sept 2011