• Uterine Fibroids Uterine Fibroids
  • Abnormal Pap Smears Abnormal Pap Smears
  • Fertility Management Fertility Management
  • Hysterectomy Hysterectomy
  • Laparoscopy Laparoscopy
  • Abdominal Utrasound Abdominal Utrasound
  • Hysteroscopy Hysteroscopy
  • Endometrial Ablation Endometrial Ablation
  • Tubal Ligation Tubal Ligation
  • Menopausal Care Menopausal Care
  • Menstrual Disorders Menstrual Disorders
  • Pregnancy Scans Pregnancy Scans
  • Childbirth Childbirth
  • Prenatal Care Prenatal Care
  • Recurrent Miscarriage Recurrent Miscarriage
  • Prenatal Emergencies Prenatal Emergencies

Menstrual Disorders

Women have menstrual cycles that are unique and usually cause no problem. A menstrual cycle involves a series of changes that affect your vagina, breasts, ovaries and uterus. However, some women experience menstrual disorders that cause negative effects on their social, work and sex lives.

It is essential to note that a normal menstruation cycle may mean something totally different to another woman as it may be abnormal menstruation to others. It is also essential to stay in tune with your body and notice any significant changes to your menstrual cycle.

Dr Kwabena is an experienced gynaecologist and obstetrician with expertise in investigating and treating problematic periods, from medical to surgical treatments.

Menstrual disorders include:

  • Painful periods
  • Irregular periods
  • Heavy periods
  • Premenstrual syndrome
  • Spotting between periods
  • Pelvic pain

There are a number of menstrual disorder causes which includes:

  • Uterine fibroids
  • Ovarian cysts
  • Cancer
  • Hormonal imbalances
  • Clotting disorders
  • Sexually transmitted infections
  • Genetics

A diagnosis may be made when the gynaecologist has ruled out other menstrual disorders, medical conditions and medications that can be causing or possibly aggravating the condition. The diagnostic procedures that Dr Essel may utilise are a pap test, ultrasound, laparoscopy, hysteroscopy and endometrial biopsy.

Treatment options for menstrual problems include:

  • Hysteroscopy, a minimally invasive procedure where Dr Essel will treat the areas of concern in the uterus.
  • With the use of a laparoscopy procedure, this is a procedure where the gynaecologist or obstetrician will use a scope and insert it in a small incision in the abdomen.
  • Oral contraceptives (birth control pills) can help regulate menstrual periods and reduce heavy bleeding. Progesterone injections (hormone therapy) are another option. The LNG-IUS (Mirena), an intrauterine progesterone device (IUD), is often recommended as a first-line treatment for heavy bleeding.
  • Endometrial ablation and hysterectomy may be considered.
  • Diet and nutritional changes.

Dr Kwabena provides a coordinated approach to treating menstrual problems, including the latest treatment options to meet the needs of the patient.


PMS passes typically within two to three days of the start of the period.

Excessive menstrual bleeding, or menorrhagia, can be a source of medical problems and dangerous complications. If you have heavy periods, you should schedule an appointment with your gynaecologist. Heavy bleeding might be an emergency that requires immediate medical intervention.

During their period, most women lose less than 16 teaspoons of blood (80ml), with the average being approximately 6 to 8 teaspoons. Heavy menstrual bleeding is described as losing 80 millilitres or more per period or having periods that last more than seven days, or both. However, measuring blood loss isn't always essential.