Irregular & Heavy Periods in Delhi
Finding the cause of abnormal bleeding and treating it, medically or surgically.
What irregular & heavy periods involves
Periods that come unpredictably, last too long, or are heavy enough to cause anaemia are not something to live with. The causes range from PCOS and thyroid disease to polyps, fibroids, adenomyosis and, less commonly, endometrial pathology.
The investigation is quick and the treatment is usually straightforward once the cause is known. What matters is not simply suppressing the bleeding without asking why it is happening.
Who this is for
- Cycles shorter than 21 or longer than 35 days
- Bleeding for more than seven days, or flooding and clots
- Bleeding between periods or after intercourse
- Anaemia, fatigue or breathlessness from blood loss
Not everything on this list means you need this treatment. The workup comes first, and the recommendation follows from what it shows — not from what was booked before you arrived.
Step by step
Assessment
Cycle history, examination, haemoglobin, thyroid and prolactin, and a pelvic ultrasound.
Cavity evaluation
Saline sonography or hysteroscopy where a polyp or submucous fibroid is suspected.
Medical treatment
Tranexamic acid, hormonal treatment or a levonorgestrel IUS depending on the cause and your plans.
Surgical treatment
Hysteroscopic polypectomy or myomectomy, with ablation or hysterectomy only where appropriate.
Your results, in writing
Whatever the outcome of irregular & heavy periods, you leave each stage with the findings written down — what was done, what was found, what it means, and what the options are from here. Reports are issued the same day wherever the laboratory allows it.
What is different about having this done here
Cause established before treatment is started
Anaemia treated properly, not ignored
Fertility-preserving options offered first
Endometrial sampling where age or risk factors warrant it
Treated by the consultant, not by a rotating team
Dr. Tiwari performs the scans, the procedure and the follow-up herself, and looks after any pregnancy that results. Over a long treatment course that continuity is the difference between being known and being processed.
- MBBS, MS (Obstetrics & Gynaecology), FNB (Reproductive Medicine)
- Over ten years in reproductive medicine and gynaecological surgery
- Previous treatment records from other centres read in full
- Itemised costs given in writing before anything begins

Areas we see patients from
Both clinics are in South Delhi. Patients travelling from further out have appointments grouped to cut down the number of trips.
Questions about irregular & heavy periods
When is heavy bleeding serious?
If you soak through protection hourly, pass large clots, or your haemoglobin is falling, it needs prompt attention.
Will I need a hysterectomy?
Rarely, and almost never as a first option in women who may want children. Most abnormal bleeding is controlled medically or by hysteroscopic surgery.
Talk it through before you commit
Consultations run for a full hour. Bring any previous reports — they are reviewed properly, not repeated.