Heavy & Painful Periods — Expert Diagnosis and Modern Treatment
Heavy or painful periods are common — but they are not something you have to live with. Expert diagnosis identifies the cause, and modern treatment can transform your cycle within weeks.
Understanding heavy & painful periods
Menorrhagia (heavy menstrual bleeding) and dysmenorrhoea (painful periods) are two of the most common reasons women in East Africa seek gynecologic care.
The right treatment depends on the underlying cause — fibroids, polyps, adenomyosis, hormonal imbalance, endometriosis, or bleeding disorders — which is why a proper workup is the foundation of Prof. Parkar's care.
Symptoms
When to seek expert care
- Bleeding lasting more than 7 days
- Soaking through pads or tampons every 1–2 hours
- Passing large blood clots
- Severe cramping
- Fatigue, breathlessness and anaemia
- Bleeding between periods
Causes
What we currently understand
- Uterine fibroids
- Endometrial or cervical polyps
- Adenomyosis
- Hormonal imbalance
- Endometriosis
- Bleeding disorders
- Thyroid dysfunction
- Rarely, endometrial cancer or pre-cancer
Risk Factors
Who is most affected
- Age (perimenopause and adolescence)
- Obesity
- Family history
- Fibroids
- Anovulation
Diagnosis
A careful, layered workup
- Menstrual history and pictorial blood assessment
- Full blood count and thyroid function
- Hormonal profile
- Transvaginal ultrasound
- Hysteroscopy with directed biopsy
A tailored plan — not a template.
Every option is discussed openly with you, with the risks, benefits and alternatives laid out clearly.
Medical Therapy
Tranexamic acid, NSAIDs, combined pills, progestins, and the levonorgestrel IUS — often first-line and highly effective.
Hysteroscopic Polypectomy
Removal of polyps causing bleeding — day-case, no incisions.
Hysteroscopic Myomectomy
Removal of submucosal fibroids through the cervix.
Endometrial Ablation
Modern day-case procedure to reduce bleeding for women who have completed their family.
Laparoscopic Hysterectomy
Reserved for severe cases when all other measures have failed.
Small incisions. Real recovery.
Prof. Parkar pioneered laparoscopic gynecology in East Africa. Advanced keyhole and hysteroscopic techniques mean less pain, minimal scarring, and a faster return to life.
Discuss Your Options- Most causes of heavy periods can be treated hysteroscopically — through the cervix with no incisions at all.
- Endometrial ablation and the levonorgestrel IUS transform quality of life within one to two cycles.
- Laparoscopic surgery is reserved for structural disease not amenable to less invasive options.
Recovery
What to expect after treatment
- Hysteroscopic procedures: return to work in 1–2 days.
- Endometrial ablation: mild cramping for 24 hours, back to normal in 3–5 days.
- Laparoscopic hysterectomy: 2–4 weeks.
Why patients choose this approach.
A trusted name in African gynecology.
25+ Years of Pioneering Work
Prof. Parkar introduced laparoscopic gynecology to East Africa and continues to train surgeons across the continent.
FRCOG · EBS Board Certified
International qualifications and continuous participation in world-leading gynecology bodies.
Personal, Unhurried Care
Every consultation is private, thorough and explained in plain language — never rushed.
Complete Multidisciplinary Team
Anesthesia, imaging, fertility and, when needed, oncology colleagues working as one team.
Questions about heavy & painful periods
Speak to Prof. Parkar today.
Choose a time that works for you — online or in-person at Aster Healthcare, 3rd Parklands Avenue, Nairobi. Same-day responses and full pre-consultation guidance.