She thought her periods have simply gotten heavier with age. The fatigue, the clots, the 2-hourly pad changes had slowly become normal. Until her Hemoglobin revealed a different story.  This is a common story we hear in clinic. Heavy bleeding rarely occurs overnight. It creeps up over months, years sometimes, and women adapt: dark clothes, spare pads in every bag, cancelled plans on day 2. Somewhere along the way, “abnormal” becomes “normal for me”.  What counts as heavy? Your periods are considered heavy if: You pass large clots, size if a coin or larger.  Bleeding lasts more than 7 days You change a pad or tampon every 1-2 hours or need to double up.  You need to wale up at night to change protection.  What you body may be telling you Heavy bleeding is often the first sign if fibroids- benign growths in uterine wall. It can be associated with other symptoms like: Fatigue, breathlessness, dizziness or palpitations , signs of iron deficiency anaemia from blood l...

  A myomectomy is a surgical procedure to remove fibroids while preserving the uterus. Whether you have undergone a laparoscopic, robotic, or open abdominal myomectomy, recovery is an important part of the treatment. One of the most common mistakes patients make is assuming that feeling better means the body has completely healed. The external wounds may look fine while deeper tissues, including the uterus, are still recovering. Here are five things you should avoid after myomectomy to support a smooth recovery. 1. Avoid heavy lifting For the first few weeks after surgery, avoid lifting heavy bags, strenuous household work, or anything that puts significant strain on your abdominal muscles. Why? Your abdominal and uterine tissues are still healing after surgery. Putting excessive strain on the healing tissues too soon can increase discomfort and may prolong recovery. Your surgeon will advise you when it is safe to gradually return to heavier activities. 2. Avoid strenuous exercise ...

Most women are told that painful periods are just "part of being a woman." So they take a painkiller, push through the day, and move on. But if your period pain is regularly disrupting your life — stopping you from going to work, cancelling plans, or leaving you curled up in bed — that is not normal. And it deserves a proper answer. One condition that is very commonly missed is endometriosis . So, what exactly is endometriosis? Think of the lining inside your uterus — the tissue that sheds every month during your period. In endometriosis, similar tissue starts growing outside the uterus. On the ovaries, behind the uterus, on the fallopian tubes, sometimes even on the bladder or bowel. Every month, this tissue behaves just like the uterine lining — it swells, breaks down, and bleeds. But because it has nowhere to go, it causes inflammation, scarring, and over time, a lot of pain. What does it feel like? Endometriosis doesn't look the same in everyone, but these are the s...

One of the most common questions I hear in my clinic is: “Doctor, my ultrasound shows a fibroid. Do I need an operation?” The answer is often no . Fibroids are non-cancerous growths of the uterus and are extremely common. Many women live with fibroids for years without any problems. In such cases, surgery may not be necessary. When can a fibroid be left alone? Your fibroid can often be monitored rather than treated if: ✓ You have no symptoms Many fibroids are discovered incidentally during a routine health check or pregnancy scan. If you do not have: Heavy menstrual bleeding Severe period pain Pelvic pressure or discomfort Frequent urination due to pressure on the bladder Constipation due to pressure on the bowel Lump in abdomen then observation may be all that is needed. ✓ The fibroid is small Small fibroids that are not distorting the uterine cavity and are not causing symptoms usually do not require surgery. The size of the fibroid alone is not the deciding facto...

  Many of us grew up hearing the term “PCOS” as if it was only about cysts in the ovaries. But here’s the interesting part — many women with PCOS don’t actually have cysts, and many women with ovarian cysts don’t have PCOS. That is why experts across the world are now discussing a shift in terminology: from PCOS (Polycystic Ovarian Syndrome) to PMOS (Polyendocrine Metabolic-Ovarian Syndrome). And honestly? PMOS may describe the condition far better. PCOS was never just a “period problem.” It is deeply connected to metabolism — the way the body handles insulin, fat storage, inflammation, energy, and hormones. The ovaries are only one part of the story. Think about the symptoms women actually struggle with: Weight gain that feels disproportionate Difficulty losing weight despite effort Pigmentation around the neck or underarms Acne and hair fall Irregular periods Mood fluctuations Fatigue and cravings Fertility concerns None of these happen because of “cysts.”...

Emergency contraceptive pills (ECPs) are often taken in a moment of stress—after unprotected sex, missed pills, or contraceptive failure. But one question many women have is,  “What if it doesn’t work?”.  Let’s break it down simply. How effective are emergency pills? Emergency pills like Levonorgestrel (taken within 72 hours) or Ulipristal acetate (effective up to 120 hours) reduce the risk of pregnancy—but don’t eliminate it completely. If taken within 24 hours → ~95% effective Within 48 hours → ~85% effective Within 72 hours → ~58–75% effective So yes, pregnancy is still possible , especially if: The pill is taken late You were already close to ovulation There was another episode of unprotected sex after taking the pill How do these pills actually work? They mainly: Delay or stop ovulation Do not work well if ovulation has already happened This is why timing matters so much. What are the chances of complications? The good news: Emergency pills are reasonably  safe f...