Menstrual Disorders Care
Personalized evaluation and treatment for heavy periods, irregular cycles, painful menstruation and abnormal bleeding in Riverside, Moreno Valley, Corona and throughout the Inland Empire.
Your period should not control your life.
Persistent heavy bleeding, irregular cycles or significant menstrual pain deserve thoughtful evaluation and individualized care.
When your period changes, there may be a reason.
Your menstrual cycle can provide important information about your overall health. Changes in your period—including unusually heavy bleeding, irregular cycles, painful periods, missed periods, or bleeding between periods—can sometimes be related to hormonal changes, uterine conditions, medications, pregnancy, or other gynecologic concerns.
At Magnolia Women Medical Center, Dr. Hesham El Mokadem provides personalized evaluation for women experiencing menstrual disorders and abnormal bleeding.
The goal is to understand your symptoms, consider possible causes, and develop an appropriate treatment plan based on your individual health, age, symptoms and reproductive goals.
Common menstrual disorder symptoms
Menstrual symptoms vary between women. Persistent or significant changes from your usual cycle may deserve professional evaluation.
Heavy Periods
Menstrual bleeding that is unusually heavy, prolonged or disruptive to your normal activities.
Irregular Periods
Cycles that become unpredictable, unusually frequent or significantly less frequent than your normal pattern.
Painful Periods
Severe, worsening or disruptive menstrual cramps or pelvic pain may warrant additional evaluation.
Bleeding Between Periods
Spotting or bleeding between menstrual periods can have several possible causes.
Missed Periods
Repeatedly missed periods may be associated with hormonal, reproductive or other health factors.
Changing Menstrual Patterns
New changes in flow, timing, duration or associated symptoms can be worth discussing with your physician.
Consider scheduling an evaluation if menstrual symptoms are persistent, worsening, unusually heavy, painful, unpredictable, or interfering with your everyday activities.
When bleeding becomes difficult to manage
Heavy menstrual bleeding can make it difficult to work, exercise, travel, sleep or participate in normal daily activities.
Some women notice that they need to change menstrual products unusually often, pass larger blood clots, bleed for many days, or experience bleeding that interferes with clothing or sleep.
Heavy menstrual bleeding can have several possible causes, including uterine fibroids, adenomyosis, hormonal changes, polyps, thyroid conditions, medications and pregnancy-related conditions.
- Frequently changing pads or tampons
- Needing multiple menstrual products
- Passing larger blood clots
- Bleeding for many days
- Bleeding through clothing or bedding
- Menstrual bleeding interfering with daily life
Why can menstrual disorders happen?
There is no single cause of abnormal periods. The appropriate evaluation depends on your symptoms, age, medical history and reproductive goals.
Hormonal Changes
Changes involving reproductive or thyroid hormones can affect ovulation, cycle timing and menstrual bleeding.
Uterine Fibroids
Fibroids are noncancerous growths involving the uterus that can contribute to heavy bleeding, pelvic pressure or other symptoms.
Endometriosis
Endometriosis can be associated with significant menstrual pain and pelvic symptoms.
Adenomyosis
Adenomyosis can contribute to heavy or painful menstrual periods.
Uterine Polyps
Endometrial polyps may contribute to irregular bleeding or bleeding between periods.
Polycystic Ovary Syndrome
PCOS can affect ovulation and may result in irregular or infrequent menstrual periods.
Thyroid Conditions
Thyroid hormone abnormalities can influence menstrual regularity and bleeding patterns.
Perimenopause
Hormonal fluctuations during the transition toward menopause can change menstrual timing and flow.
Understanding what is happening
Evaluation begins with your symptoms, menstrual history and overall health.
Menstrual History
Your physician will discuss cycle timing, duration, flow, pain and recent changes.
Medical History
Medications, contraception, pregnancy history and other health factors may be considered.
Examination
A gynecologic examination may be recommended when clinically appropriate.
Further Testing
Additional testing may be recommended based on your symptoms and individual circumstances.
Tests may help identify the cause
The appropriate tests depend on your individual symptoms and medical history.
Pregnancy Testing
Pregnancy can be an important consideration when a period is missed or unexpected bleeding occurs.
Blood Testing
Depending on the situation, blood tests may be used to evaluate anemia, thyroid function or other concerns.
Pelvic Examination
A pelvic examination may help evaluate the uterus, cervix and other pelvic structures when clinically appropriate.
Pelvic Ultrasound
Ultrasound can provide images of the uterus and ovaries and may help identify certain structural conditions.
Additional Evaluation
Depending on the symptoms, additional gynecologic procedures or testing may sometimes be recommended.
Individualized Assessment
Your physician can determine which evaluation is appropriate based on your individual circumstances.
Treatment depends on the cause.
There is no single treatment that is right for every woman. Your treatment plan should reflect your diagnosis, symptoms, health and reproductive goals.
Observation & Monitoring
When symptoms are mild or temporary, monitoring menstrual patterns and symptoms may be appropriate.
Hormonal Treatment
Certain hormonal treatments may help regulate menstrual cycles or reduce some types of abnormal bleeding in appropriate patients.
Non-Hormonal Medication
Certain non-hormonal medications may help manage menstrual bleeding or discomfort in appropriate patients.
Treatment of Fibroids or Polyps
When abnormal bleeding is related to a structural condition, treatment may focus on the underlying cause.
Procedural or Surgical Treatment
Some menstrual disorders may require a procedure or surgery when symptoms are significant or other treatments are not appropriate.
Menstrual symptoms can affect everyday life.
Heavy, painful or unpredictable periods can affect much more than the days when you are menstruating.
- Work and professional responsibilities
- Exercise and physical activity
- Sleep and rest
- Travel and social activities
- Intimacy and relationships
- Daily routines and quality of life
You deserve to have persistent or disruptive symptoms taken seriously and evaluated appropriately.
Track your cycle before your appointment.
A menstrual calendar can provide useful information about changes in timing, flow and symptoms.
Your menstrual history can be valuable information.
If possible, keep track of your cycle before your appointment. Recording when bleeding begins, how long it lasts, how heavy it is and what symptoms you experience can help your physician understand your pattern.
Period changes can happen during the menopause transition.
As women approach menopause, hormonal fluctuations can cause changes in menstrual timing, flow and symptoms.
- Irregular cycles
- Heavier or lighter periods
- Longer or shorter cycles
- Missed periods
- Changes in menstrual cramps
Although menstrual changes can occur during perimenopause, new or unusually heavy bleeding should still be discussed with a qualified healthcare professional.
Menstrual care close to home
Magnolia Women Medical Center provides women's healthcare for patients throughout Riverside, Moreno Valley, Corona and surrounding Inland Empire communities.
Riverside — Jackson Street
3975 Jackson St., Suite 110
Riverside, CA 92503
Moreno Valley — Heacock Street
12712 Heacock St., Suite 9B
Moreno Valley, CA 92553
Riverside — Brockton Avenue
4500 Brockton Ave., Suite 315
Riverside, CA 92501
Corona — Washburn Avenue
760 S. Washburn, Suite 3A
Corona, CA 92882
Menstrual disorders FAQ
Answers to common questions about heavy periods, irregular cycles and abnormal menstrual bleeding.
You deserve care that listens.
If heavy periods, irregular cycles, painful menstruation or abnormal bleeding are affecting your life, schedule an evaluation with Magnolia Women Medical Center.
Call 951-351-1071