Gynecological Wellness & Menstrual Health

Menstrual Disorders & Heavy Bleeding (AUB) in Lahore

FIGO-aligned clinical diagnostics, in-clinic abdominal sonography for consultation patients, and targeted hormonal therapy for irregular, heavy, or painful periods by Assoc. Prof. Dr. Noreen Huma.

Lead Specialist:

Assoc. Prof. Dr. Noreen Huma

FCPS (Obs & Gynae), MCPS (Paeds), MBBS

Recognized as the Best Gynecologist in Lahore

Clinical Verification:

PMDC Registration: 9682-P

28+ Years Academic & Surgical Experience

Clinic Location:

Sector B-1, Block D, Johar Town, Lahore

Call / WhatsApp: 0311 6712017

Restoring Hormonal Harmony & Ending Heavy, Painful Menstrual Cycles in Lahore

Menstrual irregularities are among the most frequent reasons women seek gynecological care. Whether presenting as heavy menstrual bleeding (soaking pads every 1-2 hours), prolonged bleeding lasting >7 days, irregular cycles, or debilitating pelvic cramps (dysmenorrhea), menstrual disorders should never be dismissed as 'normal'.

Assoc. Prof. Dr. Noreen Huma provides expert diagnostic evaluations adhering to the International Federation of Gynecology and Obstetrics (FIGO) PALM-COEIN classification. By systematically distinguishing between structural causes (Polyps, Adenomyosis, Leiomyomas, Malignancy) and non-structural causes (Coagulopathy, Ovulatory dysfunction, Endometrial, Iatrogenic), Dr. Noreen pinpoints the root cause.

Treatment is tailored to the patient's age, fertility goals, and lifestyle—ranging from non-hormonal tranexamic acid and cyclic progestins to intrauterine systems (Mirena). For patients with debilitating menstrual cramps and deep pelvic pain, specialized clinical assessment for <a href="/endometriosis-treatment-lahore/" class="text-rose-700 underline font-semibold">endometriosis treatment in Lahore</a> is provided. When severe heavy flow is accompanied by an enlarged, tender uterus, evaluation for <a href="/adenomyosis-treatment-lahore/" class="text-rose-700 underline font-semibold">adenomyosis treatment in Lahore</a> differentiates myometrial disease from fibroids. Women navigating irregular cycles in their 40s can also explore our dedicated <a href="/menopause-treatment-lahore/" class="text-rose-700 underline font-semibold">menopause and perimenopause care</a>.

Clinical Management & Step-by-Step Protocol

Menstrual History & Bleeding Severity Scoring

Documenting cycle frequency, duration, pad count, clot size, and checking hemoglobin to detect iron-deficiency anemia.

In-Clinic Abdominal Pelvic Ultrasound

Transabdominal pelvic ultrasound is available only when clinically appropriate for Dr. Noreen Huma's own consultation patients (requires a comfortably full bladder) to evaluate endometrial thickness, screen for uterine fibroids or adenomyosis, and assess pelvic structures. It is not provided as a standalone imaging service.

Hormonal & Coagulation Blood Panels

Testing Thyroid (TSH), Prolactin, Serum Ferritin, Coagulation profile (PT/APTT), and Von Willebrand workup in adolescents.

Endometrial Sampling (For Age >40 or High Risk)

Painless in-office Pipelle aspiration biopsy to evaluate the cellular architecture of the uterine lining.

Targeted Medical or Surgical Management

Prescribing tranexamic acid, cyclic progesterone, Mirena IUD insertion, or planning hysteroscopic resection.

Signs of Menstrual Disorders Requiring Clinical Evaluation

✓ Heavy Menstrual Bleeding (Menorrhagia): Soaking >1 sanitary pad or tampon per hour, or passing large blood clots (>2.5 cm)
✓ Prolonged Bleeding: Menstrual bleeding lasting longer than 7 to 8 continuous days
✓ Frequent Cycles (Polymenorrhea): Cycles occurring more frequently than every 21 days
✓ Infrequent Cycles (Oligomenorrhea): Cycles spaced more than 35 days apart
✓ Intermenstrual Bleeding: Bleeding or spotting between normal periods, or post-coital bleeding after intercourse
✓ Severe Dysmenorrhea: Debilitating lower abdominal and lower back cramps that disrupt work, school, or daily life
✓ Postmenopausal Bleeding: Any vaginal bleeding or spotting occurring 12 months or more after menopause

Evidence-Based Guidelines & International Standards

FIGO Menstrual Disorders Committee

PALM-COEIN Classification System for Abnormal Uterine Bleeding

Universal diagnostic framework identifying structural (PALM) vs. non-structural (COEIN) causes of abnormal bleeding.

NICE Guideline NG88

Heavy Menstrual Bleeding: Assessment and Management

Levonorgestrel IUD is the first-line medical treatment for heavy menstrual bleeding in women not currently seeking pregnancy.

ACOG Practice Bulletin No. 128

Diagnosis of Abnormal Uterine Bleeding in Reproductive-Aged Women

Endometrial evaluation is recommended for women over 45 with AUB or younger women with persistent anovulatory bleeding.

Frequently Asked Patient Questions

How do I know if my menstrual bleeding is abnormally heavy?

Bleeding is abnormally heavy if you need to change your pad or tampon every 1 to 2 hours, if you pass large blood clots larger than a 5-rupee coin, if bleeding lasts longer than 7 days, or if you feel weak, dizzy, and short of breath during periods due to anemia.

Is Mirena IUD safe for unmarried women or women with heavy bleeding?

Mirena is highly safe and is considered the gold-standard medical treatment worldwide for heavy menstrual bleeding and adenomyosis. It is suitable for married women and can be removed at any time if you decide to conceive.

What causes bleeding after menopause?

Postmenopausal bleeding is never normal and requires prompt clinical evaluation by a gynecologist. Common causes include vaginal or endometrial atrophy, benign polyps, or endometrial hyperplasia. Dr. Noreen Huma provides thorough clinical assessment and in-clinic abdominal pelvic ultrasound for registered consultation patients; further investigations, including endometrial sampling, may be recommended or arranged when medically appropriate.