I feel weak and have had menstrual bleeding for more than a week. What should I do to treat this condition?

Prolonged menstrual bleeding may lead to anaemia due to excessive blood loss, which can cause weakness. It may also indicate hormonal imbalances, uterine fibroids, or other underlying gynaecological issues. You should consult your doctor or gynaecologist promptly for a thorough evaluation, which may include a pelvic exam, blood tests, an ultrasound, and other relevant investigations. Treatment depends on the underlying cause and may involve iron or vitamin supplementation to correct anaemia, medications to control bleeding, or procedures such as hormonal therapy or surgery if necessary. Meanwhile, get adequate rest, stay hydrated, and include iron-rich foods in your diet to help manage weakness.

I have been diagnosed with cystitis and have had a simple cyst in my right ovary for two years. What steps should I take regarding these ongoing issues?

Typically, a simple ovarian cyst is not harmful and may resolve on its own, but if it persists, regular ultrasound monitoring is advisable. Cystitis, a type of bladder infection, should be treated with antibiotics as prescribed by your healthcare provider. It is also important to avoid irritants such as spicy foods, alcohol, and caffeine, and to drink plenty of water to help flush out bacteria. For a thorough assessment and a personalised treatment plan, consulting both a gynaecologist and a urologist is recommended.

I am two months pregnant and experiencing stomach pain. Could you please give me some advice?

Mild abdominal pain or cramping in early pregnancy is often normal, caused by the stretching of the uterus, hormonal changes, or digestive issues. However, if the pain is severe, persistent, localised to one side, or accompanied by unusual symptoms, it could indicate a complication such as an ectopic pregnancy (when the fetus develops outside the uterus). It is important to consult your doctor or obstetrician promptly to assess your symptoms, ensure your safety, and receive appropriate guidance.

I have an intramural uterine fibroid measuring 5.6 mm. What should I do next for management?

A 5.6 mm uterine fibroid is considered very small and typically does not need active treatment if you are asymptomatic. It is recommended to have regular ultrasound check-ups every 6 to 12 months. However, if you develop symptoms such as heavy menstrual bleeding, pelvic pain, or a feeling of pressure, please reach out to your gynaecologist for further assessment and management.

Why am I experiencing heavy menstrual bleeding that lasts for several days?

Heavy or prolonged menstrual bleeding (menorrhagia) can be caused by various factors, including hormonal imbalances, uterine fibroids, polyps, or blood-clotting disorders. It is crucial to see a gynaecologist for an accurate diagnosis. Treatment may involve medication to reduce or stop the bleeding, hormonal therapy, or minor procedures, depending on the underlying cause. Keeping a record of your menstrual cycle and any other symptoms can be helpful for your appointment.

What might be the cause of my right-sided pain that extends from my shoulder to my leg, which intensifies before my menstrual periods and subsides afterwards? Tests, including scans of the uterus, MRI, orthopaedic evaluations, and neurological assessments, have shown no abnormalities.

The pain you are experiencing may be linked to hormonal fluctuations related to your menstrual cycle or potential nerve irritation from deep pelvic endometriosis, despite normal results from standard tests. It may also arise from musculoskeletal tension that typically worsens during menstruation. It is advisable to consult with a gynaecologist or a pain specialist for a more thorough assessment and personalised treatment options.