Menstrual Cycle Problems
What are Menstrual Cycle Problems & Disorders?
A woman's menstrual cycle is a vital biological indicator of overall endocrine, metabolic, and reproductive health. While occasional cycle fluctuations due to travel or stress are normal, persistent irregularities—such as cycles arriving less than 21 days or more than 35 days apart, excessively heavy flows, missed periods, or debilitating pelvic cramps—demand clinical investigation.
At Dr. Deepika Lalwani (Nagwani)'s Clinic in New Kalyani Nagar & Wadgaon Sheri, Pune, we focus on identifying the exact physiological trigger behind menstrual disorders. Led by Dr. Deepika Lalwani (MBBS, DGO Mumbai) with over 10+ years of dedicated clinical experience, our practice provides compassionate, evidence-based care to normalize your cycles and protect future fertility.
Every consultation is conducted in our quiet, highly sterilized clinic by prior appointment, ensuring complete confidentiality, thorough diagnostics, and unhurried clinical attention.
Healthy Cycle vs. Abnormal Cycle: What to Compare
Every woman's physiology is unique, but persistent deviations from biological parameters are important signals that warrant medical evaluation.
Healthy Menstrual Cycle
Predictable Windows • Balanced Hormones
Arrives predictably every 21 to 35 days from the start of one period to the next.
Active flow typically lasts between 3 to 7 consecutive days.
Changing pads every 3 to 4 hours; absence of large, painful blood clots.
Mild, tolerable uterine cramping that does not hinder daily work or routines.
Abnormal Menstrual Cycle
Irregular Windows • Needs Clinical Check
Shorter than 21 days or delayed beyond 35 days, or completely missing for months.
Active bleeding or dark spotting continuing for more than 7 to 10 days.
Soaking through pads every 1 to 2 hours, double padding, or passing large clots.
Severe, debilitating pelvic spasms radiating to thighs and back, causing nausea.
Menstrual Disorders We Treat
Our clinical practice provides targeted hormonal and anatomical treatments for a wide spectrum of menstrual conditions.
Irregular Periods & Oligomenorrhea
Targeted endocrine diagnostics to restore consistent cycle rhythms for periods occurring less frequently than 35 days or alternating erratically.
Heavy Bleeding & Menorrhagia Care
Ultrasound screening for uterine fibroids, endometrial polyps, or adenomyosis, paired with medical therapy to manage excessive blood flow.
Skipped Cycles & Amenorrhea Support
Identifying underlying hormonal triggers such as thyroid dysfunction, elevated prolactin, or stress-induced hypothalamic amenorrhea to restart cycles.
Dysmenorrhea & Severe Pain Relief
Comprehensive pelvic checks to diagnose underlying endometriosis or pelvic inflammatory disease (PID), providing rapid pain relief and targeted healing.
Our Pre-Procedure Preparation & Safe Guidelines
Accurate period logging and symptom tracking ensure an accurate diagnosis during your clinical consultation.
Log Menstrual Parameters
Maintain a precise record of period start dates, bleeding duration, pad counts per day, and any intermenstrual spotting or mid-cycle pain.
Note Associated Symptoms
Record systemic indicators like sudden weight changes, hair loss, facial breakouts, severe fatigue, or premenstrual mood disruptions.
Avoid Self-Medicating Hormones
Refrain from consuming unprescribed over-the-counter hormonal pills or excessive painkillers, which only mask underlying physiological conditions.
Our Diagnostic & Treatment Care Protocol
A systematic clinical approach that identifies hormone imbalances and anatomical anomalies to restore healthy cycles.
Every treatment and procedure at our clinic is performed with the highest standards of safety, compassion, and clinical expertise. Dr. Deepika Lalwani ensures each step of your journey is carefully monitored and optimized for the best possible outcomes.
Expert Guidance
From your initial consultation through recovery, our dedicated team is here to support you with personalized care, ensuring your comfort and peace of mind at every stage.
Step 1: Clinical History & Cycle Timeline Mapping
A detailed evaluation with Dr. Deepika Lalwani reviewing menstrual onset, bleeding patterns, contraceptive history, and family endocrine traits.
Step 2: Targeted Endocrine Hormone Profiling
Laboratory blood panels checking thyroid function (TSH, Free T4), serum prolactin, ovarian reserves (AMH), and Day 2/3 LH/FSH ratios.
Step 3: High-Resolution Pelvic Ultrasound
Transvaginal or pelvic screening ultrasound to evaluate endometrial lining thickness and rule out uterine fibroids, polyps, or polycystic ovaries.
Step 4: Tailored Therapeutic & Lifestyle Plan
Initiating cycle-regulating therapies, thyroid correction, or minimally invasive procedures, supported by structured follow-up reviews.
Why Choose Dr. Deepika Lalwani's Clinic for Menstrual Cycle Care?
- Root-Cause Endocrine DiagnosticsDr. Deepika Lalwani (MBBS, DGO Mumbai) screens thyroid profiles, prolactin levels, and ovarian reserves to treat biological root causes.
- 10+ Years of Menstrual & Hormonal AcumenExtensive clinical track record managing menorrhagia, dysmenorrhea, adolescent oligomenorrhea, and perimenopausal bleeding in Pune.
- Dedicated Prior-Appointment BookingConsultations are scheduled strictly by prior appointment in New Kalyani Nagar, ensuring absolute privacy, zero lobby crowds, and pristine clinical hygiene.
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Frequently Asked Questions
In Pune, an in-depth menstrual health consultation with Dr. Deepika Lalwani is ₹600 to ₹800. Diagnostic evaluations—such as a pelvic ultrasound to screen for fibroids, endometrial thickening, or ovarian cysts—range from ₹1,500 to ₹2,500. Targeted hormonal testing (Thyroid Profile, Prolactin, CBC to rule out anemia, and Estrogen/Progesterone) typically costs between ₹1,500 and ₹3,500.
The primary causes of irregular periods include Polycystic Ovary Syndrome (PCOS), thyroid disorders (hypothyroidism or hyperthyroidism), elevated prolactin levels, chronic mental or physical stress, sudden weight fluctuations, perimenopausal hormonal transitions, and structural issues like uterine fibroids or polyps.
Menstrual bleeding is considered heavy if you soak through one or more sanitary pads every 1 to 2 hours for consecutive hours, need double sanitary protection, bleed for more than 7 days, pass blood clots larger than a coin, or experience severe fatigue or dizziness (anemia symptoms).
Secondary amenorrhea (missed periods in non-pregnant women) is commonly triggered by high stress (hypothalamic disruption), sudden weight loss or gain, thyroid dysfunction, elevated prolactin, PCOS anovulation, or discontinuation of birth control pills. Dr. Deepika Lalwani conducts blood tests and ultrasound to pinpoint the cause.
Dr. Deepika Lalwani performs a gentle pelvic examination and ultrasound to differentiate primary dysmenorrhea (excess uterine prostaglandins) from secondary dysmenorrhea (endometriosis, adenomyosis, or fibroids). Treatments include anti-prostaglandin medications, hormonal regulation, and lifestyle adjustments.
Consultations are conducted strictly by prior appointment during dedicated morning and evening hours in our New Kalyani Nagar clinic. This ensures a tranquil, private environment with zero lobby crowding. Contact our clinic line directly to schedule your appointment.